License holder summary

Dr. LISA NICOLE ODOM is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. LISA NICOLE ODOM is 9162 CLEARWATER DRIVE DALLAS TX 75243. This licensed professional license is current. The license was granted 07/22/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. LISA NICOLE ODOM
Board Of Medicine
License number
M-13382
Date granted
07/22/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
9162 CLEARWATER DRIVE DALLAS TX 75243
idaholicensing.com
ID 48345711
LAST UPDATED 2026-03-25 02:48:55 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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