STEPHEN CHARLES DOUGHTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055284

License Status

ACTIVE

Business

First Name

STEPHEN CHARLES

Last Name

DOUGHTY

Suffix

Business Name

STEPHEN CHARLES DOUGHTY MD

Original Issue Date

08/11/1977

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/04/2023