JAMES D DOHERTY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****94

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

DOHERTY

Suffix

Business Name

JAMES D DOHERTY OD

Original Issue Date

06/13/1996

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006