MEGAN PATRICIA FAVIA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

ACTIVE

Business

First Name

MEGAN

Middle

PATRICIA

Last Name

FAVIA

Business Name

MEGAN PATRICIA FAVIA

Original Issue Date

04/06/2021

Effective Date

02/08/2024

Expiration Date

03/01/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025