JAMES D DOHERTY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****95

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

DOHERTY

Suffix

Business Name

JAMES D DOHERTY OD

Original Issue Date

10/17/1996

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021