COLLEEN M FITZGERALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

Last Name

FITZGERALD

Suffix

Business Name

COLLEEN M FITZGERALD MD

Original Issue Date

07/20/2000

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023