KATHERINE ANNE FAVIA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076781

License Status

CANCELLED

Business

Title

First Name

KATHERINE

Middle

ANNE

Last Name

FAVIA

Business Name

KATHERINE ANNE FAVIA DO

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

12/23/2025