PHILIP M DOCHERTY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113054

License Status

INACTIVE

Business

First Name

PHILIP

Middle

Last Name

DOCHERTY

Business Name

PHILIP M DOCHERTY

Original Issue Date

08/18/2011

Effective Date

01/05/2015

Expiration Date

01/31/2017

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

11/10/2016