MARY KATHLEEN FAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

MARY

Middle

KATHLEEN

Last Name

FAY

Suffix

Business Name

MARY KATHLEEN FAY MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2008

Case Number

2007009676

Action

Suspension

Discipline Start Date

09/09/2008

Discipline Reason

Violation of Medical Practice Act.