ANTHONY J FAVA MD - Medical Doctor License in Tennessee | # 036073988

ANTHONY J FAVA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073988

License Status

INACTIVE

Business

N

First Name

ANTHONY J

Last Name

FAVA

Suffix

MD

Business Name

ANTHONY J FAVA MD

Original Issue Date

10/20/1986

Effective Date

10/20/1986

Expiration Date

07/31/1987

State

TN

Ever Disciplined

N

LastModifiedDate

09/20/2006