DANIEL J FITZGERALD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066134

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

Last Name

FITZGERALD

Business Name

DANIEL J FITZGERALD MD

Original Issue Date

03/12/2015

Effective Date

03/12/2015

Expiration Date

03/11/2018

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/12/2015