JAMES VINCENT FAVATA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037977

License Status

NOT RENEWED

Business

First Name

JAMES VINCENT

Last Name

FAVATA

Suffix

Business Name

JAMES VINCENT FAVATA MD

Original Issue Date

09/14/1962

Effective Date

09/14/1962

Expiration Date

07/31/1987

City

SCOTTSDALE

State

Zip

85253

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006