ELLEN O'BRIEN ATWOOD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005966

License Status

ACTIVE

Business

First Name

ELLEN

Middle

O'BRIEN

Last Name

ATWOOD

Business Name

ELLEN O'BRIEN ATWOOD

Original Issue Date

09/07/2016

Effective Date

03/12/2026

Expiration Date

03/01/2028

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

03/12/2026