MAX A FITZGERALD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061565

License Status

CANCELLED

Business

Title

First Name

MAX

Middle

Last Name

FITZGERALD

Business Name

MAX A FITZGERALD MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

03/24/2014