ANDREW THOMAS DOHERTY - Physician Assistant License in Illinois | # 085003763

ANDREW THOMAS DOHERTY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003763

License Status

NOT RENEWED

Business

N

First Name

ANDREW

Middle

THOMAS

Last Name

DOHERTY

Business Name

ANDREW THOMAS DOHERTY

Original Issue Date

06/22/2010

Effective Date

02/25/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018