RAYMOND J FACCO MD - Medical Doctor License in Indiana | # 036083213

RAYMOND J FACCO MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083213

License Status

INACTIVE

Business

N

First Name

RAYMOND J

Last Name

FACCO

Suffix

MD

Business Name

RAYMOND J FACCO MD

Original Issue Date

08/09/1991

Effective Date

08/09/1991

Expiration Date

07/31/2002

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006