ROBERT M DAUGHERTY DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****93

License Status

CANCELLED

Business

First Name

ROBERT

Middle

Last Name

DAUGHERTY

Suffix

DPM

Business Name

ROBERT M DAUGHERTY DPM

Original Issue Date

04/20/2004

Effective Date

04/20/2004

Expiration Date

01/31/2007

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/04/2007