RYAN SHEA FITZGERALD DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062949

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

SHEA

Last Name

FITZGERALD

Business Name

RYAN SHEA FITZGERALD DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014