CHRISTINA MICHELLE DOHERTY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118016

License Status

INACTIVE

Business

First Name

CHRISTINA

Middle

MICHELLE

Last Name

DOHERTY

Suffix

Business Name

CHRISTINA MICHELLE DOHERTY MD

Original Issue Date

04/03/2007

Effective Date

06/12/2008

Expiration Date

07/31/2011

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/07/2011