License Search: Details

Name Title Primary Practice Location Licensed Or Has Been Licensed In
Mary B. Fauteux PA No other states on file

License History

License Type License Number Status License Date Expiration Date
PPA 786 Expired 11/08/1999 01/31/2017
TMP 2701 Expired 12/29/2014 01/12/2015

Education History

School Date Completed Nature of Training
Alderson Broaddus College 05/08/1999 Physician Assistant School

Discipline/Board Action History

Discipline/Board Action Type of Action Action Date Public Documents
Yes Reprimand or Censure 8/6/2007
Yes Other License Action 3/21/2008

Malpractice History

No Malpractice Cases On Record

Current Authorizations to Practice

Collaborating Physician Authorized to Practice Authorized to Prescribe Primary Work Location Designated Alternate Supervisor(s)

This data was retrieved on 4/20/2026.