BARRY T DAUGHTRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092570

License Status

NOT RENEWED

Business

First Name

BARRY T

Last Name

DAUGHTRY

Suffix

Business Name

BARRY T DAUGHTRY MD

Original Issue Date

04/04/1996

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021