GERALD P FITZGERALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046553

License Status

NOT RENEWED

Business

First Name

GERALD P

Last Name

FITZGERALD

Suffix

Business Name

GERALD P FITZGERALD MD

Original Issue Date

10/19/1972

Effective Date

10/19/1972

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1987002139

Action

Suspension

Discipline Start Date

09/20/1988