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Licensee/Applicant Lookup
Licensee/Applicant Detail - Verification of Licensure/Application Status

Information current as of: 05/31/2018
Query Time: 06/17/2018 10:16:50 pm

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License/Application Number 1628
First Name Thomas J.
Last Name Doherty
Title Psy.D.
Address P.O. Box 3174
City Portland
State OR
Country U.S.A
Phone Number 503-288-1213
Status Active Psychologist
Date Licensed 10/15/2004
Expiration Date 6/30/2019
Proposed or Final Board Action No
Under Supervision No

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