KELLY MARIE FITZGERALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

MARIE

Last Name

FITZGERALD

Business Name

KELLY MARIE FITZGERALD MD

Original Issue Date

04/01/2015

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

ADDISON

State

Zip

60101

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023