AMANDA MIYUKI DOUGHERTY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083615

License Status

EXPIRED

Business

Title

First Name

AMANDA

Middle

MIYUKI

Last Name

DOUGHERTY

Business Name

AMANDA MIYUKI DOUGHERTY MD

Original Issue Date

06/22/2024

Effective Date

06/22/2024

Expiration Date

06/21/2025

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

11/03/2025