MARITZA YESENIA ESTRADA-O'BRIEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

MARITZA

Middle

YESENIA

Last Name

ESTRADA-O'BRIEN

Business Name

MARITZA YESENIA ESTRADA-O'BRIEN MD

Original Issue Date

10/04/2021

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023