EMILEE T ODOM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005821

License Status

NOT RENEWED

Business

First Name

EMILEE

Middle

Last Name

ODOM

Business Name

EMILEE T ODOM

Original Issue Date

04/29/2016

Effective Date

04/29/2016

Expiration Date

03/01/2018

City

JONESBORO

State

Zip

72404

County

ARKANSAS

Ever Disciplined

LastModifiedDate

05/10/2018