Tag Archives: IDFPR

Relaxed restrictions: Health care licenses and criminal convictions

On January 1, 2017, new laws on the books in Illinois took effect. Among the new laws passed was a bill to protect applicants for professional licenses who may also have a record of a criminal offense and conviction. Prior to the new law, applicants for health care licenses[i] were barred from applying for a professional health care license if they had been convicted of criminal offenses.

In fact, a 2011 law, now rescinded, had automatically and permanently revoked or denied licenses to certain health care professionals with certain past felony convictions. Imagine working in a health care career for years and being stripped of your license to work and earn a living. Those affected by the 2011 law may now move forward in applying for the reissue of their health care license.

Those previously stripped of licenses may seek relief:

New health care license applicants who may have been precluded from receiving a license prior to January 1 may now request the issuance of a health care license by the State of Illinois. The Illinois Department of Financial Regulation (IDFPR), who issues and regulates health care licenses and professionals, may no longer deny a request for a professional license solely on an applicant’s criminal record unless the conviction is directly related to the occupation for which the individual seeks a license.

“The new measure is part of ongoing efforts by Governor Rauner and legislators to remove unnecessary barriers to the professional licensure while ensuring the health, safety, and welfare of the public.[ii]

New opportunities for independent review:

Under the law, if an individual applies for a license to work in regulated health care position, and they have a criminal conviction, the individual may qualify for special review under the new law. The Petition for Review, timely filed, can be used to affirmatively establish that the individual has been rehabilitated from their conviction.

There are several factors to be considered by the IDFPR in reviewing Petitions for Review, such as the seriousness of the underlying criminal conviction, any prior disciplinary history associated with the applicant, and notably, the individual’s voluntary remedial actions. Remedial actions can help establish an individual accepting responsibility for an error, and when coupled with rehabilitation, the decreased chances of future errant actions.

Child support obligations:

The new rule also gives the IDFPR more discretion in disciplining a license holder who falls behind in child support obligation. While it may be true that some child support obligors knowingly fail to pay child support, others may fall behind unintentionally. When the health care worker is denied their license to earn a living, and they want to be current on their support obligation, taking their income away can further complicate the problem.

If you believe the new law applies to your health care career and opportunity to hold the proper license, whether you were previously denied, suspended or revoked, you should know that every situation is fact-specific and what applies to some may not apply to others. Call Michael V. Favia & Associates, P.C. for a comprehensive review of your professional licensing matter to learn if the new law may change your health care career outlook.

About us: Michael V. Favia & Associates, P.C. is a health law and litigation firm in Chicago representing individuals, healthcare professionals and organizations with civil legal matters as well as professional licensing and regulation.

Chicago health law and litigation attorney Michael V. Favia and his associates in several locations and disciplines, advise and represent private individuals as well as healthcare professionals in all types of litigation and administrative matters involving licensing and regulatory agencies.

Michael V. Favia and Associates, P.C. represents individual physicians and health care organizations in the Chicago area with a variety of legal matters. With offices conveniently located in the Chicago Loop, Northwest side and suburban meeting locations, you can schedule a discrete meeting with an attorney at your convenience and discretion. Michael V. Favia & Associates is available at (773) 631-4580. Please visit www.favialawfirm.com and feel free to “Like” the firm on Facebook and “Follow” the firm on Twitter. You can also review endorsements and recommendations for Michael V. Favia on his Avvo.com profile and on LinkedIn.

 

 

[i] Note: Health care workers include doctors, nurses, social workers, pharmacists, and more.

[ii] IDFPR Press Release Dated 12/29/2016, A Pathway to Licensure: Changes to Law for Health Care Workers with Criminal Convictions.

Nursing home liability for mechanical failure and patient injury

Nursing home administrators and management work diligently to protect the health and safety of residents. Despite everyone’s best efforts and rendering the best care, accidents can happen, and can be the result of mechanical failure. One of the tasks performed by healthcare staff during routine care should be the inspection and maintenance of mechanisms used in the care of nursing home residents. For example, a mechanical lift, should be inspected to insure proper working condition so as to prevent a lift device failure leading to a fall and injury. In the event the nursing home fails to maintain equipment or knowingly fails correct a mechanical failure, the result of an injury to a resident can be a lawsuit resulting in findings of negligence.

Nursing Home Care Act: Was the condition or occurrence the proximate cause of injury or death?

If there is a condition or occurrence which is the proximate cause of injury, the individuals or organization can be found liable for negligence within the scope of the Illinois Nursing Home Care Act.[i] Within the Act there is a section describing a “safe resident handling policy[ii],” and requiring a policy to prevent injury due to mechanical failures. The policy requirement is listed in the Act as follows: “A facility must adopt and ensure implementation of a policy to identify, assess, and develop strategies to control risk of injury to residents and nurses and other health care workers associated with the lifting, transferring, repositioning, or movement of a resident.[iii]

The safe resident handling policy should be followed and documented on a regular and consistent basis. Good recordkeeping and policy adherence is important, especially in the event of an injury or death and investigation in to the customs and practices used and whether a stated policy was followed or there was negligence leading to the injury or death.

Mechanical failures can include wheel chair lift failures and much more. Education and policies are essential.

While the Nursing Home Care Act specifically addresses wheel chair lifts and the importance of maintenance and insuring the mechanical fitness of equipment, there are many additional safety concerns and possibilities of mechanical failure. The proper operation of medical equipment used in the delivery of medicine, respiration machines, video resident monitoring are all important and can lead to injury and death. Make sure all mechanical equipment being used to lift, move and provide care for residents is working properly. It is important to maintain documentation of equipment checks for wear and damage.

Educating nursing home staff is important. Making sure the entire organization is trained on maintaining proper safety policies can help reduce the risk of resident injury and death.

Failure to maintain resident safety policies and failure to prevent the risk of injury through mechanical maintenance can lead to state discipline and fines.

The Illinois Department of Public Health and the Illinois Department of Financial and Professional Regulation can become involved in situations involving the injury or death of a nursing home resident. If nursing home administrators, managers or staff are found to have violated the law, there can be fines, professional discipline and more adverse consequences. In some cases, nursing homes can be closed.

The time to talk to a health care and liability and licensing attorney is before an accident happens. An experienced health care attorney can help nursing homes create policies and protocols that satisfy legal requirements so that the nursing home administration can establish its best efforts at satisfying its duties of care to residents. In the event there is an accident, also call a health care attorney to discuss important next steps.

About us: Michael V. Favia & Associates, P.C. is a health law and litigation firm in Chicago representing individuals, healthcare professionals and organizations with civil legal matters as well as professional licensing and regulation.

Chicago health law and litigation attorney Michael V. Favia and his associates in several locations and disciplines, advise and represent private individuals as well as healthcare professionals in all types of litigation and administrative matters involving licensing and regulatory agencies.

Michael V. Favia and Associates, P.C. represents individual physicians and health care organizations in the Chicago area with a variety of legal matters. With offices conveniently located in the Chicago Loop, Northwest side and suburban meeting locations, you can schedule a discrete meeting with an attorney at your convenience and discretion. Michael V. Favia & Associates is available at (773) 631-4580. Please visit www.favialawfirm.com and feel free to “Like” the firm on Facebook and “Follow” the firm on Twitter. You can also review endorsements and recommendations for Michael V. Favia on his Avvo.com profile and on LinkedIn.

 

 

[i] 210 ILCS 45/1-101 et seq.

[ii] 210 ILCS 45/3-206.05

[iii] 210 ILCS 45/3-206.05(b)

Experience matters: Hiring the best healthcare licensing lawyer

How much did it cost you to become a licensed and practicing healthcare professional? While doing the math, in addition to the hard cost of tuition for many years of school, remember to include the opportunity cost of all else you may have done to earn money while you dedicated your life and career path to healthcare practice. In addition to money, the time and other resources invested in a healthcare practice are significant. It is safe to say that healthcare professionals have too much to lose to gamble with a licensing dispute or discipline.

There appears to be an increase in the coverage of healthcare discipline and regulation.

Doctors, dentists and nurses all understand that frivolous complaints are filed from time to time and the regulatory agency charged with oversight has a duty to follow up on any and all reported incidents. Even if you assume you are in the clear and can handle everything on your own, it is possible to stumble on an unknown regulatory or legal issue and it is never good to be caught off guard when defending your practice.

There are incentives for people to report the alleged misconduct of others, particularly in healthcare practice. Consider the amount of coverage given to cases of Medicare billing fraud. People who report Medicare fraud can receive compensation for being the whistleblower. A less than ethical individual may target practitioners with high volume practices if they think there is a chance an error may lie somewhere in the billing files, and they might get lucky.

When winning and defending your practice matters, so does experience.

The increase in demand for healthcare professionals leads to an increase in all the industries supporting healthcare practice, including the legal industry. As increased manpower and technology allows for more opportunities to regulate and oversee healthcare practices, there is an increased need for skilled and experienced attorneys to advise and represent licensed healthcare practitioners.

Chicago healthcare law and licensing attorney, Michael V. Favia humbly finds himself among the best healthcare attorneys in the State of Illinois. Favia’s career has afforded him the opportunity to work for the State as well as in private practice, on both sides of the fence. As a former chief prosecutor for the IDFPR, then the Illinois Department of Professional Regulation, Favia is intimately familiar with the outlook and position of the Department, when it investigates and makes discretionary decisions whether to proceed with the investigations that can lead to discipline and serious consequences.

Read Michael V. Favia’s LinkedIn profile for a full list of career accolades and experience.

Working in private practice, counseling and representing Illinois-licensed healthcare practitioners, defending their licenses and careers, Favia has also had the opportunity to share experience and wisdom with other attorneys learning healthcare law. Only through many years of experience in the trenches does a professional develop the right intuition and knowledge base to be the senior practitioner to mentor others. In building his career, Favia has worked with other leading healthcare lawyers, associating and collaborating on cases; he is the one they turn to when they need additional counsel.

About us: Michael V. Favia & Associates, P.C. is a health law and litigation firm in Chicago representing individuals, healthcare professionals and organizations with civil legal matters as well as professional licensing and regulation.

Chicago health law and litigation attorney Michael V. Favia and his associates in several locations and disciplines, advise and represent private individuals as well as healthcare professionals in all types of litigation and administrative matters involving licensing and regulatory agencies.

Michael V. Favia and Associates, P.C. represents individual physicians and health care organizations in the Chicago area with a variety of legal matters. With offices conveniently located in the Chicago Loop, Northwest side and suburban meeting locations, you can schedule a discrete meeting with an attorney at your convenience and discretion. Michael V. Favia & Associates is available at (773) 631-4580. Please visit www.favialawfirm.com and feel free to “Like” the firm on Facebook and “Follow” the firm on Twitter. You can also review endorsements and recommendations for Michael V. Favia on his Avvo.com profile and on LinkedIn.

 

Advantages of being represented by an attorney in IDFPR proceedings

 

The Illinois Department of Financial and Professional Regulation (IDFPR) is responsible for the regulation and oversight of professionals in Illinois. The IDFPR has a duty to the people of the State of Illinois to ensure that its licensed professionals meet the guidelines and standards of professional practice. In healthcare practice, like others, when an individual files a complaint about a licensed healthcare practitioner, the IDFPR has a duty to investigate the claim and engage in disciplinary proceedings where appropriate. Many complaints made against healthcare professionals are disposed of and no action is taken. If and when an Illinois-licensed healthcare professional receives notice of an incident, it is a best practice to hire be represented by an experienced professional licensing attorney during the process.

IDFPR investigations and proceedings are conducted pursuant to administrative legal standards and its individual policies and procedures.

Administrative proceedings and the policies and procedures involved are unique to each agency. The IDFPR uses its own methods and rules to conduct investigations, hearings and disciplinary proceedings. Since the process is unique, it can beyond the practice area scope of general legal practitioners. Attorneys in healthcare law and licensing practice have unique experience in representing healthcare practitioners before the IDFPR.

Michael V. Favia knows how IDFPR investigators and prosecuting think because he is a former Chief of Prosecution for the agency, when it was known as the Illinois Department of Professional Regulation. Favia knows how and when to resolve a licensing case in the best interests of the licensed healthcare professional.

The best case scenario is being diligent and avoiding professional practice investigations and potential outcomes that could damage a healthcare practitioner in their career and reputation.

There are further and other implications of licensing and disciplinary decisions. For example, discipline in Illinois is reported to the National Practitioner Databank, and an adverse decision in Illinois could trigger investigation and discipline in other states if the individual holds licenses in more than one state.

Licensed healthcare professionals have a duty to report certain occurrences, as a conditional requirement for maintaining a valid license to practice. How and when information is communicated to the IDFPR or relevant state board or agency can be the difference between diligence and discipline.

Preventing a future IDFPR investigation is another goal Favia uses when working in healthcare law and litigation. In medical malpractice cases, the outcome of a lawsuit can directly lead to an investigation.

About us: Michael V. Favia & Associates, P.C. is a health law and litigation firm in Chicago representing individuals, healthcare professionals and organizations with civil legal matters as well as professional licensing and regulation.

Chicago health law and litigation attorney Michael V. Favia and his associates in several locations and disciplines, advise and represent private individuals as well as healthcare professionals in all types of litigation and administrative matters involving licensing and regulatory agencies.

Michael V. Favia and Associates, P.C. represents individual physicians and health care organizations in the Chicago area with a variety of legal matters. With offices conveniently located in the Chicago Loop, Northwest side and suburban meeting locations, you can schedule a discrete meeting with an attorney at your convenience and discretion. Michael V. Favia & Associates is available at (773) 631-4580. Please visit www.favialawfirm.com and feel free to “Like” the firm on Facebook and “Follow” the firm on Twitter. You can also review endorsements and recommendations for Michael V. Favia on his Avvo.com profile and on LinkedIn.

Failure to report an incident involving charges or convictions of crimes can lead to worse consequences.

What happens if I voluntarily surrender my medical or nursing license?

There are so many possible scenarios in which nurses and physicians may be subject to discipline by the state medical boards and licensing departments. What you decide to do in one state can impact what happens in another state if you hold multiple licenses. While some legal problems, such as convictions for fraud or injury to a patient, might seal your professional fate, not all allegations or findings of fault are met with the suspension or revocation of your license by the state. A crime involving dishonesty or moral turpitude might be treated differently than the allegation of failure to follow a state law correctly. In the event the wrongdoing you fear will lead to loss of license, is something you can get help for, such as in the case of substance abuse or addiction, treatment and rehabilitation may be helpful in showing the state that you are not a threat to the public. The best idea is to work with a professional licensing attorney who can advise you and help weigh your options.

What is the benefit of voluntarily surrendering your medical or nursing license?

The short answer, is when you elect to voluntarily surrender your license, you avoid going through the process of the investigating board scrutinizing you or your conduct at hearings and making findings of fact and conclusions that may be published on websites in the public domain. In Illinois, for example, the IDFPR publishes notes of their decisions and discipline on the website, searchable by anyone.

In the event your hold licenses in multiple states, the voluntary surrender in one state may be favorable, compared to findings of fault, when other states may investigate whether to discipline you or affect your license in their state.

A surrender may be a permanent solution to a temporary problem, and should be taken seriously.

In most states, when you voluntarily surrender your nursing or medical license, you also swear to never apply for the reinstatement or make an original application for a new license. Your career options can be severely limited by having a surrendered license.

The terms of discipline, if any, can include a suspension of license and privileges for a minimum period of time and until further order of the medical board or licensing department. Depending on the circumstances of discipline, it may be possible to fully reinstate the license, privileges and career.

A professional licensing attorney who works with healthcare professionals, can advise as to the disciplinary process and expected outcomes.

Michael V. Favia & Associates, P.C. represents Illinois-licensed professionals in actions involving the IDFPR. A former Chief of Prosecution with the Department, Michael V. Favia is well-known for his work on both sides of administrative licensing law.

Chicago health law and litigation attorney Michael V. Favia and his associates in several locations and disciplines, advise and represent licensed physicians in all types of litigation and administrative matters involving licensing and regulatory agencies.

Michael V. Favia and Associates, P.C. represents individual physicians and health care organizations in the Chicago area with a variety of legal matters. With offices conveniently located in the Chicago Loop, Northwest side and suburban meeting locations, you can schedule a discrete meeting with an attorney at your convenience and discretion. For more about Michael V. Favia & Associates, please call (773) 631-4850, visit www.favialawfirm.com and feel free to “Like” the firm on Facebook and “Follow” the firm on Twitter. You can also review endorsements and recommendations for Michael V. Favia on his Avvo.com profile and on LinkedIn.

Illinois physician agrees to surrender medical license after giving patients non-FDA approved drugs

Dr. Ann Kinnealey is no longer an Illinois-licensed medical doctor following investigations leading to an agreement with the Illinois Department of Financial and Professional Regulation (IDFPR). Kinnealey may have been facing IDFPR discipline and elected to surrender her license voluntarily. She waived her right to a hearing with the Department investigating her in connection with a criminal investigation by the U.S. Food and Drug Administration (FDA) concerning Kinnealey, an oncologist, purchasing and prescribing $1 million worth of misbranded drugs obtained from Canada that were not approved or allowed by the FDA.[i]

The FDA spends significant resources to protect the public from non-FDA drugs. Narcotics from overseas can be less expensive than approved pharmaceuticals legally obtained, and there is a black market. In other cases, prices are not the issue, rather patients may seek imported drugs not otherwise approved and legally available in the U.S., drugs that may otherwise still be in clinical trial stage or experimental drugs. When patients are sick and their chances of recovery are compelling, some doctors and patients will do whatever it takes to get their hands on anything that might save their lives, even if it means the purchase and sale of illegal imported narcotics.

When the FDA gets involved, so does the IDFPR

When an Illinois-licensed professional is investigated, charged or convicted of wrongdoing, the IDFPR can and will launch its independent investigation and determine if the individual should be disciplined to keep its duty to the people of the State of Illinois to ensure that licensed professionals meet the requirements to hold a professional license. As a general rule, individuals with criminal problems do not meet the state’s requirements to hold professional licenses.

The IDFPR investigated Kinnealey and ordered a summary suspension of her medical licenses (Licensed Physician Controlled Substance, Schedules II, III, IV and V, and Licensed Physician and Surgeon) on April 8, 2016. The reason cited for the summary suspensions as listed on the IDFPR license lookup page is “based on unprofessional and immoral conduct and fraudulent or deceptive statement in a document related to the practice of medicine, to wit: Respondent illegally acquired non-FDA approved chemotherapy medications and administered said medications to oncology patients.[ii]

The doctor surrendered her license in lieu of discipline by the IDFPR

A couple weeks later, Kinnealey surrendered her license on April 21, 2016, “Surrender in Lieu of Discipline, for purchasing non-FDA approved, misbranded cancer chemotherapy prescription drugs to be used in her oncology practice between 2008-2012.[iii]

The FDA investigation included information that the FDA notified Kinnealey in 2009 that the non-approved cancer treatment drugs she was importing from Canada, were not allowed in the U.S. Kinnealey ignored the FDA warning and continued buying and prescribing the cheap import cancer drugs. She billed Medicare for some of the Canadian drugs, and was reimbursed more than $514,000. Fortunately none of Kinnealey’s patients died as a result of using the counterfeit drugs.[iv]

IDFPR spokesman, Terry Horstman stated, “She will no longer be able to practice medicine or prescribe controlled substances within Illinois. Chief medical coordinator for the Department said, “the continued practice of medicine by Kinnealey presented “an immediate danger to the safety of the public” in the notice of her suspension April 8.[v]” In addition to the loss of her career and medical licenses, Kinnealey was ordered to pay approximately $129,000 in restitution to the federal government.

Michael V. Favia & Associates, P.C. represents Illinois-licensed professionals in actions involving the IDFPR. A former Chief of Prosecution with the Department, Michael V. Favia is well-known for his work on both sides of administrative licensing law.

Chicago health law and litigation attorney Michael V. Favia and his associates in several locations and disciplines, advise and represent licensed physicians in all types of litigation and administrative matters involving licensing and regulatory agencies.

Michael V. Favia and Associates, P.C. represents individual physicians and health care organizations in the Chicago area with a variety of legal matters. With offices conveniently located in the Chicago Loop, Northwest side and suburban meeting locations, you can schedule a discrete meeting with an attorney at your convenience and discretion. For more about Michael V. Favia & Associates, please call (773) 631-4850, visit www.favialawfirm.com and feel free to “Like” the firm on Facebook and “Follow” the firm on Twitter. You can also review endorsements and recommendations for Michael V. Favia on his Avvo.com profile and on LinkedIn.

[i] The Republic, Illinois doctor gives up license over cancer drug imports, Associated Press, May 11, 2016.

[ii] Illinois Department of Financial and Professional Regulation, physician lookup, Ann E Kinnealey MD, May 13, 2016.

[iii] See Ann Kinnealey license lookup referenced HNii above.

[iv] Beckers Hospital Review, Chicago oncologist relinquishes license to settle illegal cancer drug probe, by Tamara Rosin, May 11, 2016.

[v] Chicago Tribune, Evanston doctor gives up license after cancer drug probe, by Robert Channick, May 11, 2016.

Image Source: Chicago Tribune, Biddiboo / Getty Images http://trib.in/23OwafP

Will a DUI arrest and conviction affect my physicians or nursing license?

Physicians and nurses face serious and career impacting consequences when they are arrested and convicted of Driving Under the Influence (DUI) in Illinois. The problems that licensed health care professionals may not be limited to the State of Illinois, if the offense occurs in Illinois and professional practices in states outside Illinois. These issues are not limited to offenses in Illinois, and out-of-state incidents are equally jeopardizing. The state licensing boards and agencies charged with keeping residents safe and regulating professionals take DUI charges seriously. The Illinois Department of Financial and Professional Regulation (IDFPR) can and will investigate and discipline its licensed physicians and nurses involved in DUI incidents. Disciplinary action in Illinois will likely follow a licensed health care professional in the future. Hiring the best lawyers and experts can make the difference between keeping and losing your career.

DUI arrests are frequent, especially in high enforcement areas with roadside sobriety checks

Many police departments in Illinois use roadside sobriety and safety checkpoints, particularly during peak travel times around the holidays. An officer who wants to find probable cause to search you and your vehicle can use a variety of indicators to justify a search, even your slight hesitation to answer questions or their opinion you braked too hard coming to a stop. In another scenario, you might be on your way home from a networking mixer and are rear-ended by a drunk driver. If your blood alcohol concentration exceeds the state limit of 0.08 percent, you are subject to arrest and conviction.

True or False: you cannot be arrested for DUI simply because you take prescription medication? False! Physicians and nurses take prescription medications like everyone else, and if the side of the pill container says anything about driving or operating a motor vehicle while taking the medication, that can also lead to a DUI arrest and conviction.

What happens if you are arrested for DUI in Illinois or out-of-state?

Call a professional licensing lawyer as soon as possible. Michael V. Favia is one of the Chicago area’s best known attorney defending physicians and nurses licensed in Illinois, because he is a former prosecutor for the IDFPR and he knows exactly how they operate and what you may be up against.

Attorney Favia will know how to properly advise you and how to report the DUI to the IDFPR and any other relevant board of regulation. These boards may have a range of fines or disciplinary sanctions they could seek to impose against you. If however, you are proactive in seeking counseling and rehabilitation efforts, in many cases, you may be able to minimize the damage and threat to your health care license.

Regulatory boards may be harsher if you are not timely and appropriate in your reporting the incident. Of course, the worst thing you could do is fail to report, which is a breach of your duty under the terms of the state conferring a license upon you in the first place. Attorney Favia, having been on both sides of the professional licensing fence, will be your best asset in protecting your career.

To fight the conviction and how zealous should you be?

While it may be appropriate to be humble and apologetic, zealously fighting a conviction can be in your best interest. Arrests are one thing, convictions are another; a conviction can lead to stronger fines and sanctions to your career, including the suspension or revocation of your physician or nursing license. A conviction versus arrest record can also lead to difficulties in other states.

The National Practitioner Data Bank may contain records of reports of DUI arrests and convictions. A simple note to the file indicating an arrest was not carried through to conviction may satisfy the State of Illinois regulatory boards such as the IDFPR, but it could lead to more strict penalties in other states where you may be licensed, now or in the future.

Michael V. Favia and Associates, P.C., works with physicians and health care professionals who are arrested and face conviction for DUI, helping clients mitigate the damage to their license and future health care career.

Chicago health law and litigation attorney Michael V. Favia and his associates in several locations and disciplines, advise and represent licensed physicians in all types of litigation and administrative matters involving licensing and regulatory agencies.

Michael V. Favia and Associates, P.C. represents individual physicians and health care organizations in the Chicago area with a variety of legal matters. With offices conveniently located in the Chicago Loop, Northwest side and suburban meeting locations, you can schedule a discrete meeting with an attorney at your convenience and discretion. For more about Michael V. Favia & Associates, please visit www.favialawfirm.com and feel free to “Like” the firm on Facebook and “Follow” the firm on Twitter. You can also review endorsements and recommendations for Michael V. Favia on his Avvo.com profile and on LinkedIn.

Image source: http://bit.ly/1qb9oCO