TIMOTHY A FITZGERALD Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005680

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

FITZGERALD

Business Name

TIMOTHY A FITZGERALD

Original Issue Date

08/11/2015

Effective Date

08/11/2015

Expiration Date

01/31/2017

City

CARMEL

State

Zip

46032

County

INDIANA

Ever Disciplined

LastModifiedDate

03/27/2017