MICHAEL O'BRIEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010117

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

O'BRIEN

Business Name

MICHAEL O'BRIEN

Original Issue Date

10/06/2023

Effective Date

10/06/2023

Expiration Date

03/01/2024

City

FLORENCE

State

Zip

01062

Ever Disciplined

LastModifiedDate

02/05/2025