ERIN BROOKE O'BRIEN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

INOPERATIVE

Business

First Name

ERIN

Middle

BROOKE

Last Name

O'BRIEN

Business Name

ERIN BROOKE O'BRIEN

Original Issue Date

02/16/2007

Effective Date

02/28/2012

Expiration Date

03/01/2014

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

12/21/2012