SEAN O'MALLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074631

License Status

CANCELLED

Business

Title

First Name

SEAN

Last Name

O'MALLEY

Business Name

SEAN O'MALLEY MD

Original Issue Date

06/26/2022

Effective Date

06/26/2022

Expiration Date

06/25/2024

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/04/2022