DR. PHILIP FAVIA Medical Corporation License verification

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042620855

License Status

CANCELLED

Business

Business Name

DR. PHILIP FAVIA

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

01/01/2019

City

CRYSTAL LAKE

State

Zip

60012

Ever Disciplined

LastModifiedDate

05/29/2018