EMMANUEL B FAVILA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

EMMANUEL B

Last Name

FAVILA

Suffix

Business Name

EMMANUEL B FAVILA MD

Original Issue Date

01/22/1999

Effective Date

01/22/1999

Expiration Date

07/31/2002

City

PARIS

State

Zip

61944

County

EDGAR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006