AMY LYNN DOHERTY - Medical Doctor License in Wisconsin | # 036137970

AMY LYNN DOHERTY

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137970

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

LYNN

Last Name

DOHERTY

Business Name

AMY LYNN DOHERTY

Original Issue Date

05/11/2015

Effective Date

05/11/2015

Expiration Date

07/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

11/01/2017