COLLEEN M FITZGERALD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035005

License Status

EXPIRED

Business

First Name

COLLEEN

Middle

Last Name

FITZGERALD

Suffix

Business Name

COLLEEN M FITZGERALD MD

Original Issue Date

06/12/1996

Effective Date

06/12/1996

Expiration Date

06/16/2000

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006