ELLEN O'BRIEN ATWOOD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

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

03/17/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026