EMANUEL FAVELA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

EMANUEL

Last Name

FAVELA

Suffix

Business Name

EMANUEL FAVELA MD

Original Issue Date

08/03/2011

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60639

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023