MARLITO P FAVILA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026297

License Status

EXPIRED

Business

First Name

MARLITO P

Last Name

FAVILA

Suffix

Business Name

MARLITO P FAVILA MD

Original Issue Date

04/30/1991

Effective Date

04/30/1991

Expiration Date

06/25/1994

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006