STARLA D FITCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

STARLA D

Last Name

FITCH

Suffix

Business Name

STARLA D FITCH MD

Original Issue Date

07/23/1992

Effective Date

07/23/1992

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006