TERRENCE JAMES DOHERTY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044102

License Status

EXPIRED

Business

First Name

TERRENCE

Middle

JAMES

Last Name

DOHERTY

Suffix

Business Name

TERRENCE JAMES DOHERTY MD

Original Issue Date

06/12/2002

Effective Date

06/12/2002

Expiration Date

06/11/2003

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006