KEVIN MICHAEL FITZPATRICK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106448

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

MICHAEL

Last Name

FITZPATRICK

Business Name

KEVIN MICHAEL FITZPATRICK

Original Issue Date

03/07/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BRIGHTON

State

Zip

80601

Ever Disciplined

LastModifiedDate

11/06/2008