MICHAEL CLANCY O'BRIEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

CLANCY

Last Name

O'BRIEN

Business Name

MICHAEL CLANCY O'BRIEN MD

Original Issue Date

06/14/2018

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

GETZVILLE

State

Zip

14068

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023