GREGORY ROBERT FAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052197

License Status

NOT RENEWED

Business

First Name

GREGORY ROBERT

Last Name

FAVIS

Suffix

Business Name

GREGORY ROBERT FAVIS MD

Original Issue Date

12/19/1975

Effective Date

12/19/1975

City

DEVON

State

Zip

19333

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006