THOMAS A FAY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029331

License Status

EXPIRED

Business

First Name

THOMAS A

Last Name

FAY

Suffix

Business Name

THOMAS A FAY MD

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/23/1996

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006