KIRK NIELSEN O'DONNELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155686

License Status

ACTIVE

Business

Title

First Name

KIRK

Middle

NIELSEN

Last Name

O'DONNELL

Business Name

KIRK NIELSEN O'DONNELL MD

Original Issue Date

02/18/2021

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

PARK CITY

State

Zip

84060

Ever Disciplined

LastModifiedDate

07/12/2023