RAYMOND J FACCO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083213

License Status

INACTIVE

Business

First Name

RAYMOND J

Last Name

FACCO

Suffix

Business Name

RAYMOND J FACCO MD

Original Issue Date

08/09/1991

Effective Date

08/09/1991

Expiration Date

07/31/2002

City

FORT WAYNE

State

Zip

46895

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006