DEBRA LYNN FERTIG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023527

License Status

EXPIRED

Business

First Name

DEBRA

Middle

LYNN

Last Name

FERTIG

Suffix

Business Name

DEBRA LYNN FERTIG MD

Original Issue Date

05/04/1989

Effective Date

05/04/1989

Expiration Date

06/20/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006