MICHAEL JOHN FITZGERALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOHN

Last Name

FITZGERALD

Suffix

Business Name

MICHAEL JOHN FITZGERALD MD

Original Issue Date

03/29/1984

Effective Date

03/29/1984

Expiration Date

07/31/1990

City

GLENVIEW

State

Zip

60026

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020