ALICIA GABRIELA FACCA MD - Medical Doctor License in Florida | # 036103507

ALICIA GABRIELA FACCA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103507

License Status

INACTIVE

Business

N

First Name

ALICIA

Middle

GABRIELA

Last Name

FACCA

Suffix

MD

Business Name

ALICIA GABRIELA FACCA MD

Original Issue Date

09/20/2000

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

FL

Ever Disciplined

N

LastModifiedDate

04/07/2011