JAMES MICHAEL DOUGHERTY MD - Medical Doctor License in Indiana | # 036130441

JAMES MICHAEL DOUGHERTY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130441

License Status

NOT RENEWED

Business

N

Title

MD

First Name

JAMES

Middle

MICHAEL

Last Name

DOUGHERTY

Business Name

JAMES MICHAEL DOUGHERTY MD

Original Issue Date

05/30/2012

Effective Date

05/19/2014

Expiration Date

07/31/2017

State

IN

Ever Disciplined

N

LastModifiedDate

11/01/2017