MICHELLE BLINN O'NEILL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

BLINN

Last Name

O'NEILL

Business Name

MICHELLE BLINN O'NEILL

Original Issue Date

05/06/2009

Effective Date

09/24/2020

Expiration Date

07/31/2023

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023