STEVEN W FITZGERALD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

CANCELLED

Business

First Name

STEVEN

Middle

Last Name

FITZGERALD

Suffix

Business Name

STEVEN W FITZGERALD MD

Original Issue Date

08/31/1998

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2008