STEPHANIE DAWN O'BRIEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072406

License Status

EXPIRED

Business

Title

First Name

STEPHANIE

Middle

DAWN

Last Name

O'BRIEN

Business Name

STEPHANIE DAWN O'BRIEN DO

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2021

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022