JOHN FITZSIMMONS MCCARTHY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

CANCELLED

Business

First Name

JOHN

Middle

FITZSIMMONS

Last Name

MCCARTHY

Suffix

Business Name

JOHN FITZSIMMONS MCCARTHY MD

Original Issue Date

12/19/2002

Effective Date

12/19/2002

Expiration Date

07/31/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006