EILEEN ANNE O'HALLORAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060396

License Status

CANCELLED

Business

Title

First Name

EILEEN

Middle

ANNE

Last Name

O'HALLORAN

Business Name

EILEEN ANNE O'HALLORAN MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

ROSCOE

State

Zip

61073

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/05/2011