MEAGHAN KAITLIN DOHERTY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057243

License Status

CANCELLED

Business

First Name

MEAGHAN

Middle

KAITLIN

Last Name

DOHERTY

Suffix

Business Name

MEAGHAN KAITLIN DOHERTY MD

Original Issue Date

07/13/2009

Effective Date

07/13/2009

Expiration Date

07/12/2012

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/13/2009