SEAN CHRISTOPHER DOHERTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

SEAN

Middle

CHRISTOPHER

Last Name

DOHERTY

Business Name

SEAN CHRISTOPHER DOHERTY MD

Original Issue Date

04/17/2012

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023