CARRIE OAKLEY DOUGHERTY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054423

License Status

EXPIRED

Business

Title

First Name

CARRIE

Middle

OAKLEY

Last Name

DOUGHERTY

Business Name

CARRIE OAKLEY DOUGHERTY MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009