ALICIA GABRIELA FACCA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103507

License Status

INACTIVE

Business

First Name

ALICIA

Middle

GABRIELA

Last Name

FACCA

Suffix

Business Name

ALICIA GABRIELA FACCA MD

Original Issue Date

09/20/2000

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MIAMI

State

Zip

33178

County

FLORIDA

Ever Disciplined

LastModifiedDate

04/07/2011