AMELIA FITZ RYAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054988

License Status

CANCELLED

Business

Title

First Name

AMELIA

Middle

FITZ

Last Name

RYAN

Business Name

AMELIA FITZ RYAN MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/11/2008