ELLEN MARIE O'BRIEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

MARIE

Last Name

O'BRIEN

Suffix

Business Name

ELLEN MARIE O'BRIEN MD

Original Issue Date

10/18/2001

Effective Date

10/18/2001

Expiration Date

07/31/2008

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

04/12/2017