JAMES D DOHERTY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047076829

License Status

CANCELLED

Business

First Name

JAMES

Middle

Last Name

DOHERTY

Suffix

Business Name

JAMES D DOHERTY OD

Original Issue Date

09/19/1996

Effective Date

07/11/2005

Expiration Date

03/31/2006

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

09/01/2005