WILLIAM EDWARD DOUGHERTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

EDWARD

Last Name

DOUGHERTY

Suffix

Business Name

WILLIAM EDWARD DOUGHERTY MD

Original Issue Date

08/26/2005

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017