AMANDA MARIE O'BRIEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055931

License Status

CANCELLED

Business

Title

First Name

AMANDA

Middle

MARIE

Last Name

O'BRIEN

Business Name

AMANDA MARIE O'BRIEN MD

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

09/04/2013

City

SPRINGFIELD

State

Zip

62702

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

04/02/2012