ROBERT M DAUGHERTY DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005170

License Status

INACTIVE

Business

First Name

ROBERT

Middle

Last Name

DAUGHERTY

Suffix

DPM

Business Name

ROBERT M DAUGHERTY DPM

Original Issue Date

03/01/2004

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

CAPE GIRARDEAU

State

Zip

63701

Ever Disciplined

LastModifiedDate

04/04/2007