ERICA O'BRYAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052180

License Status

EXPIRED

Business

First Name

ERICA

Last Name

O'BRYAN

Suffix

Business Name

ERICA O'BRYAN MD

Original Issue Date

09/15/2006

Effective Date

09/15/2006

Expiration Date

09/14/2009

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/29/2009