LAUREL ETHERIDGE DOHERTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057636

License Status

NOT RENEWED

Business

First Name

LAUREL ETHERIDGE

Last Name

DOHERTY

Suffix

Business Name

LAUREL ETHERIDGE DOHERTY MD

Original Issue Date

09/25/1978

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017