KELLY MARIE FITZGERALD MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184356

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

MARIE

Last Name

FITZGERALD

Business Name

KELLY MARIE FITZGERALD MD

Original Issue Date

05/19/2008

Effective Date

05/19/2008

Expiration Date

03/31/2009

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2009