Arizona Board of Medical Examiners Record on Janis Johnson
Author:
Arizona Board of Medical Examiners
| Date: | March 11, 1997 |
| Pages: | 1 |
| PHILIP E. KEEN, MD CHAIRMAN PAMELA RANDOLPH, RN, MSN VICE-CHAIRMAN R. KRISHNA, MD SECRETARY |
MARK R. SPEICHER EXECUTIVE DIRECTOR ELAINE HUGUNIN DEPUTY DIRECTOR |
ARIZONA BOARD OF MEDICAL EXAMINERS
1651 East Morten, Suite 210 * Phoenix, Arizona 85020 Telephone (602) 255-3751 * FAX (602) 255-1848
CLEARWATER POLICE DEPT.
ATTN: SGT. WAYNE ANDREWS
645 PIERCE ST.
CLEARWATER, FL 34616
| Physician: | JANIS KAYE FITZGERALD, M.D. |
| Office Location: | Tucson 5/l/94 Expired, Arizona |
| License: | 17132 |
| Date Issued: | 09/04/1987 |
| Licensed by: | ENDORSEMENT, NATIONAL BOARDS |
| Date of Birth: | XX/XX/1956 |
| Medical School: | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE DETROIT, MICHIGAN |
| Graduation year: | 06/08/1983 |
| License Status: | Expired |
| License Expires: | 01/01/1994 |
Post-Grad. Information:
| Type | Speciality 1 | Speciality 2 | Start | Finish |
| Residency | Anesthesiology SINAI HOSPITAL OF DETROIT DETROIT, MICHIGAN |
7/01/83 | 8/27/86 |
This is to certify that the above-named physician is not currently licensed to practice medicine in Arizona. There are Board action(s) regarding this physician.
[signed: ] Carole Nelson
Verification Division
Date:03/11/1997
To expedite the Board's verification process, the above format is the standard format prepared for physicians licensed by this agency. Any Board actions regarding this licensee are attached to this form. If you have any further questions, please contact our office.