MICHAEL JAMES DOUGHERTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

MICHAEL JAMES

Last Name

DOUGHERTY

Suffix

Business Name

MICHAEL JAMES DOUGHERTY MD

Original Issue Date

09/22/1992

Effective Date

09/22/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006