KATHERINE TABOR OBRIEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001040

License Status

NOT RENEWED

Business

Title

First Name

KATHERINE

Middle

TABOR

Last Name

OBRIEN

Business Name

KATHERINE TABOR OBRIEN MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

07/31/2015

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

01/07/2016