AMELIA FITZ RYAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

Title

First Name

AMELIA

Middle

FITZ

Last Name

RYAN

Business Name

AMELIA FITZ RYAN MD

Original Issue Date

10/28/2010

Effective Date

06/10/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60639

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017