MICHELLE LYNNE DOUGHERTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148559

License Status

NOT RENEWED

Business

Title

First Name

MICHELLE

Middle

LYNNE

Last Name

DOUGHERTY

Business Name

MICHELLE LYNNE DOUGHERTY MD

Original Issue Date

03/13/2019

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

RANCHO PALOS VERDES

State

Zip

90275

Ever Disciplined

LastModifiedDate

11/30/2023