DANIEL RICHARD O'BRIEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149357

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

RICHARD

Last Name

O'BRIEN

Business Name

DANIEL RICHARD O'BRIEN DO

Original Issue Date

05/17/2019

Effective Date

05/17/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021