JULIE R FAVIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

JULIE

Middle

Last Name

FAVIA

Suffix

Business Name

JULIE R FAVIA MD

Original Issue Date

06/17/2004

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023