DR. PHILIP FAVIA - Medical Corporation License in Illinois | # 042620855

DR. PHILIP FAVIA

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042620855

License Status

CANCELLED

Business

Y

Business Name

DR. PHILIP FAVIA

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

01/01/2019

State

IL

Ever Disciplined

N

LastModifiedDate

05/29/2018