MICHAEL A FAVILA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151804

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

Last Name

FAVILA

Business Name

MICHAEL A FAVILA DO

Original Issue Date

02/11/2020

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/13/2023