MARY ANTOINETTE FITZSIMONS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

MARY ANTOINETTE

Last Name

FITZSIMONS

Suffix

Business Name

MARY ANTOINETTE FITZSIMONS MD

Original Issue Date

12/22/1982

Effective Date

12/22/1982

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006