PHILIP FAVIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111767

License Status

ACTIVE

Business

First Name

PHILIP

Last Name

FAVIA

Suffix

Business Name

PHILIP FAVIA MD

Original Issue Date

07/02/2004

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

04/14/2023