THERESA ELIZABETH FITZSIMONS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017638

License Status

EXPIRED

Business

First Name

THERESA

Middle

ELIZABETH

Last Name

FITZSIMONS

Suffix

Business Name

THERESA ELIZABETH FITZSIMONS MD

Original Issue Date

08/09/1984

Effective Date

08/09/1984

Expiration Date

07/01/1986

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006