KEVIN P FITZGERALD (Credential# 555753) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 28, 1999. The license expiration date date is May 31, 2000. The license status is INACTIVE.
KEVIN P FITZGERALD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038163. The credential type is physician/surgeon. The effective date is September 28, 1999. The expiration date is May 31, 2000. The business address is 934 Thornbury Place, O'fallon, IL 62269. The current status is inactive.
| Licensee Name | KEVIN P FITZGERALD |
| Credential ID | 555753 |
| Credential Number | 1.038163 |
| Credential Type | Physician/Surgeon |
| Business Address |
934 Thornbury Place O'fallon IL 62269 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1999-09-28 |
| Effective Date | 1999-09-28 |
| Expiration Date | 2000-05-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 934 Thornbury Place |
| City | O'Fallon |
| State | IL |
| Zip Code | 62269 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kendra C. Fitzgerald | 934 Thornbury Place, O'fallon, IL 62269 | Pharmacist | 2000-02-01 ~ 2001-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph H Levy | 1708 West Washington Street, O'fallon, IL 62269 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jeffrey D Andreoli | 1420 Schwarz Meadow Dr, O'fallon, IL 62269 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Amber D Farlin | 1214 Welles Ct, O Fallon, IL 62269 | Registered Nurse | 2018-08-01 ~ 2019-07-31 |
| Michaelanne Talbott | 1208 Greenfield Place, #107, O Fallon, IL 62269 | Registered Nurse | 2017-05-01 ~ 2018-04-30 |
| Jeanette L Martineau · Martineau | 180 N. Peaceful Pl., O'fallon, IL 62269 | Registered Nurse | 2009-05-14 ~ 2010-02-28 |
| Kristin M Moore | 214 Locust Drive, Shiloh, IL 62269 | Registered Nurse | 2008-08-22 ~ 2009-07-31 |
| Christopher A Cesa | 309 Donna Dr, Ofallon, IL 62269 | Registered Nurse | 2006-11-06 ~ 2007-11-30 |
| Robert I Stanley Jr. | 180 N Peaceful Place, O'fallon, IL 62269 | Paramedic | 2008-04-28 ~ 2009-01-31 |
| Danielle C Carr | 111 C Sugar Pine Lane, O'fallon, IL 62269 | Paramedic | 2008-01-02 ~ 2009-01-31 |
| Donna L Eaton | 1012 W Nixon Dr, O Fallon, IL 62269-1044 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 62269 | |||
| City | O'Fallon |
| Zip Code | 62269 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + O'Fallon |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M. Fitzgerald | 16 Chauncy St, Cambridge, MA 02138-2439 | Physician/surgeon | 1987-05-01 ~ 1992-05-31 |
| Thomas J Fitzgerald | 55 Lake Ave, N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Thomas Baird Fitzgerald | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jerri N Fitzgerald | 72 Davis Road, Southwick, MA 01077 | Physician/surgeon | 2009-02-05 ~ 2010-03-31 |
| Robert T Fitzgerald | 20 Martins Lane, Hingham, MA 02043 | Physician/surgeon | 2003-11-10 ~ 2004-10-31 |
| Bettina A Fitzgerald | Va Outpatient Clinic, Jennings, LA 70546 | Physician/surgeon | 2003-03-17 ~ 2004-04-30 |
| Regina M Fitzgerald | 36 Revere Place, Ridgefield, CT 06877 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Terence S Fitzgerald | 184 Rowayton Woods Dr, Norwalk, CT 06854-3911 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Stephen C Fitzgerald | 131 Blue Lake Drive, Crowley, LA 70526 | Physician/surgeon | 1996-02-05 ~ 1997-02-28 |
| James R Fitzgerald | 3951 Gulf Shore, Naples, FL 33940 | Physician/surgeon | 1993-10-25 ~ 1994-09-30 |
Please comment or provide details below to improve the information on KEVIN P FITZGERALD.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).