EMILY DIANE FITZSIMMONS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188001058

License Status

EXPIRED

Business

Title

First Name

EMILY

Middle

DIANE

Last Name

FITZSIMMONS

Business Name

EMILY DIANE FITZSIMMONS MD

Original Issue Date

04/08/2024

Effective Date

04/08/2024

Expiration Date

10/07/2024

City

CARBONDALE

State

Zip

62902

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/29/2025