DALE WALTER FITZPATRICK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016097

License Status

EXPIRED

Business

First Name

DALE WALTER

Last Name

FITZPATRICK

Suffix

Business Name

DALE WALTER FITZPATRICK MD

Original Issue Date

06/27/1983

Effective Date

06/27/1983

Expiration Date

06/19/1985

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006