MARY KATHLEEN FAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061956

License Status

NOT RENEWED

Business

First Name

MARY

Middle

KATHLEEN

Last Name

FAY

Suffix

Business Name

MARY KATHLEEN FAY MD

Original Issue Date

04/14/1981

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WINTER HAVEN

State

Zip

33881

Ever Disciplined

LastModifiedDate

09/09/2008

Case Number

2007009676

Action

Suspension

Discipline Start Date

09/09/2008

Discipline Reason

Violation of Medical Practice Act.