ROBERT LEE DOUGHERTY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000498

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

LEE

Last Name

DOUGHERTY

Business Name

ROBERT LEE DOUGHERTY

Original Issue Date

05/19/1992

Effective Date

03/03/2016

Expiration Date

03/01/2018

City

CASEY

State

Zip

62420

County

CLARK

Ever Disciplined

LastModifiedDate

05/10/2018