AMY LYNN DOHERTY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137970

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYNN

Last Name

DOHERTY

Business Name

AMY LYNN DOHERTY

Original Issue Date

05/11/2015

Effective Date

05/11/2015

Expiration Date

07/31/2017

City

PORTAGE

State

Zip

53901

Ever Disciplined

LastModifiedDate

11/01/2017