KATHERINE ANN FITZGERALD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054692

License Status

CANCELLED

Business

Title

First Name

KATHERINE

Middle

ANN

Last Name

FITZGERALD

Business Name

KATHERINE ANN FITZGERALD MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

08/16/2012

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

05/24/2011