JAMES MICHAEL DOUGHERTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130441

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

MICHAEL

Last Name

DOUGHERTY

Business Name

JAMES MICHAEL DOUGHERTY MD

Original Issue Date

05/30/2012

Effective Date

05/19/2014

Expiration Date

07/31/2017

City

FORT WAYNE

State

Zip

46814

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017