ALEX FAVELUKES - Medical Doctor License in Arizona | # 33*****14

ALEX FAVELUKES

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

N

First Name

ALEX

Last Name

FAVELUKES

Business Name

ALEX FAVELUKES

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

State

AZ

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/07/2011