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 2024-03-14 19:37:30 UTC
LAST UPDATED 2024-03-14 19:37:30 UTC
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