EMANUEL FAVELA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055097

License Status

EXPIRED

Business

First Name

EMANUEL

Last Name

FAVELA

Suffix

Business Name

EMANUEL FAVELA MD

Original Issue Date

06/25/2008

Effective Date

06/25/2008

Expiration Date

06/24/2011

City

CHICAGO

State

Zip

60622

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011