MICHAEL A FAVILA DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****70

ACTIVE

N

DO

MICHAEL

A

FAVILA

MICHAEL A FAVILA DO

09/01/2020

05/13/2023

07/31/2026

TINLEY PARK

IL

60477

COOK

PRACTITIONER

II III IV V

N

05/13/2023