RAYMOND A DOUGHERTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036030863

License Status

NOT RENEWED

Business

First Name

RAYMOND A

Last Name

DOUGHERTY

Suffix

Business Name

RAYMOND A DOUGHERTY MD

Original Issue Date

08/17/1951

Effective Date

08/17/1951

Expiration Date

07/31/1987

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/20/2006