CAROLYN E FITZPATRICK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

CAROLYN

Middle

Last Name

FITZPATRICK

Business Name

CAROLYN E FITZPATRICK

Original Issue Date

06/23/2005

Effective Date

06/11/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2023