JOANNE FAVUZZA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

Title

First Name

JOANNE

Last Name

FAVUZZA

Business Name

JOANNE FAVUZZA DO

Original Issue Date

09/17/2012

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021