ERIN COLEEN O'BRIEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****05

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

COLEEN

Last Name

O'BRIEN OD

Business Name

ERIN COLEEN O'BRIEN OD

Original Issue Date

09/29/2009

Effective Date

09/29/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010