CAROLYN M DOHERTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076946

License Status

NOT RENEWED

Business

First Name

CAROLYN M

Last Name

DOHERTY

Suffix

Business Name

CAROLYN M DOHERTY MD

Original Issue Date

04/25/1988

Effective Date

04/25/1988

Expiration Date

07/31/1993

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006