TERI ANN DOUGHERTY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

TERI

Middle

ANN

Last Name

DOUGHERTY

Business Name

TERI ANN DOUGHERTY

Original Issue Date

06/23/2004

Effective Date

05/05/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026