KEVIN PATRICK FITZGERALD MD ` Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102928

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

PATRICK

Last Name

FITZGERALD

Suffix

Business Name

KEVIN PATRICK FITZGERALD MD `

Original Issue Date

07/06/2000

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

CRESTVIEW HILLS

State

Zip

41017

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/01/2017