KATHERINE ANN FITZGERALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

KATHERINE

Middle

ANN

Last Name

FITZGERALD

Business Name

KATHERINE ANN FITZGERALD MD

Original Issue Date

08/10/2012

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

FULTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023