TIMOTHY D OBRIEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

TIMOTHY D

Last Name

OBRIEN

Suffix

Business Name

TIMOTHY D OBRIEN MD

Original Issue Date

10/12/1990

Effective Date

10/12/1990

Expiration Date

07/31/1999

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006