PHILIP JOHN FITZPATRICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109832

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

JOHN

Last Name

FITZPATRICK

Suffix

Business Name

PHILIP JOHN FITZPATRICK MD

Original Issue Date

08/01/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

11/06/2008