GREGORY ROBERT FAVIS MD - Medical Doctor License in Pennsylvania | # 036052197

GREGORY ROBERT FAVIS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052197

License Status

NOT RENEWED

Business

N

First Name

GREGORY ROBERT

Last Name

FAVIS

Suffix

MD

Business Name

GREGORY ROBERT FAVIS MD

Original Issue Date

12/19/1975

Effective Date

12/19/1975

State

PA

Ever Disciplined

N

LastModifiedDate

09/20/2006