MARY P FITZGERALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

FITZGERALD

Suffix

Business Name

MARY P FITZGERALD MD

Original Issue Date

05/05/1997

Effective Date

05/05/1997

Expiration Date

07/31/1999

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017