GLORIA J DOCHERTY Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****36

License Status

NOT RENEWED

Business

First Name

GLORIA J

Last Name

DOCHERTY

Business Name

GLORIA J DOCHERTY

Original Issue Date

07/14/1999

Effective Date

03/09/2018

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

01/14/2021