DAVID L FAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095684

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

FAY

Suffix

Business Name

DAVID L FAY MD

Original Issue Date

06/20/1997

Effective Date

06/20/1997

Expiration Date

07/31/2002

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006