MARTIN RUSSELL O'MALLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136317

License Status

ACTIVE

Business

Title

First Name

MARTIN

Middle

RUSSELL

Last Name

O'MALLEY

Business Name

MARTIN RUSSELL O'MALLEY MD

Original Issue Date

08/22/2014

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

GENESEO

State

Zip

61254

Ever Disciplined

LastModifiedDate

07/07/2023