DAVID WAYNE FACELLO DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147010

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

WAYNE

Last Name

FACELLO

Business Name

DAVID WAYNE FACELLO DO

Original Issue Date

07/25/2018

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

LEWISBURG

State

Zip

24901

Ever Disciplined

LastModifiedDate

11/30/2023