STEPHEN WAYNE DAUGHERTY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005798

License Status

NOT RENEWED

Business

Title

DPM

First Name

STEPHEN

Middle

WAYNE

Last Name

DAUGHERTY

Business Name

STEPHEN WAYNE DAUGHERTY DPM

Original Issue Date

07/06/2018

Effective Date

01/14/2019

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2021