ANTHONY J FAVA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073988

License Status

INACTIVE

Business

First Name

ANTHONY J

Last Name

FAVA

Suffix

Business Name

ANTHONY J FAVA MD

Original Issue Date

10/20/1986

Effective Date

10/20/1986

Expiration Date

07/31/1987

City

KNOXVILLE

State

Zip

37919

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/20/2006