THOMAS A FAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093962

License Status

NOT RENEWED

Business

First Name

THOMAS A

Last Name

FAY

Suffix

Business Name

THOMAS A FAY MD

Original Issue Date

08/13/1996

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

BOSTON

State

Zip

02118

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/17/2014