DENE WESLEY DAUGHERTY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057271

License Status

EXPIRED

Business

First Name

DENE

Middle

WESLEY

Last Name

DAUGHERTY

Business Name

DENE WESLEY DAUGHERTY

Original Issue Date

10/01/2009

Effective Date

10/01/2009

Expiration Date

09/30/2012

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

01/11/2013