ERIN BROOKE O'BRIEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002838

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

BROOKE

Last Name

O'BRIEN

Business Name

ERIN BROOKE O'BRIEN

Original Issue Date

10/05/2006

Effective Date

02/28/2012

Expiration Date

03/01/2014

City

LEWISTOWN

State

Zip

61542

County

FULTON

Ever Disciplined

LastModifiedDate

04/08/2014