NATHAN FAVINI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151241

License Status

ACTIVE

Business

Title

First Name

NATHAN

Last Name

FAVINI

Business Name

NATHAN FAVINI MD

Original Issue Date

11/19/2019

Effective Date

04/06/2023

Expiration Date

07/31/2026

State

Ever Disciplined

LastModifiedDate

04/06/2023