COLLINS TIMOTHY FITZPATRICK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036348

License Status

EXPIRED

Business

First Name

COLLINS

Middle

TIMOTHY

Last Name

FITZPATRICK

Suffix

Business Name

COLLINS TIMOTHY FITZPATRICK MD

Original Issue Date

05/28/1997

Effective Date

05/28/1997

Expiration Date

06/15/2001

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006