ELLEN MARIE O'BRIEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104490

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

04/10/2001

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017