THERESA MANGAHAS FITZGERALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158264

License Status

ACTIVE

Business

Title

First Name

THERESA

Middle

MANGAHAS

Last Name

FITZGERALD

Business Name

THERESA MANGAHAS FITZGERALD MD

Original Issue Date

09/12/2021

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

KIRKLAND

State

Zip

98034

Ever Disciplined

LastModifiedDate

09/19/2023