MARY M FITZGIBBON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

FITZGIBBON

Business Name

MARY M FITZGIBBON

Original Issue Date

06/03/2004

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023