TIMOTHY H DAUGHERTY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066594

License Status

CANCELLED

Business

First Name

TIMOTHY

Middle

Last Name

DAUGHERTY

Suffix

Business Name

TIMOTHY H DAUGHERTY MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

04/10/2018