BRIAN DAVID O'DONNELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004988

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

DAVID

Last Name

O'DONNELL

Business Name

BRIAN DAVID O'DONNELL

Original Issue Date

02/19/2014

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

SAN FRANCISCO

State

Zip

94104

Ever Disciplined

LastModifiedDate

11/24/2020