DAVID A FITZGERALD MD Medical Doctor License verification

Business Entity

Non Sufficient Fund Check Terminated

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044479

License Status

Non Sufficient Fund Check Terminated

Business

First Name

DAVID A

Last Name

FITZGERALD

Suffix

Business Name

DAVID A FITZGERALD MD

Original Issue Date

07/09/1971

Effective Date

07/09/1971

Expiration Date

07/31/1996

City

MADISON

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1997006646

Action

Suspension

Discipline Start Date

06/25/1998

Discipline End Date

01/07/1999

Discipline Reason

Outstanding tax liability, 1988, 1995. License restored January 7, 1999.