JOANNE FAVUZZA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131424

License Status

NOT RENEWED

Business

Title

First Name

JOANNE

Last Name

FAVUZZA

Business Name

JOANNE FAVUZZA DO

Original Issue Date

09/17/2012

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021