ALAN FAVELA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

ACTIVE

Business

First Name

ALAN

Last Name

FAVELA

Business Name

ALAN FAVELA

Original Issue Date

11/30/2021

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

JOLIET

State

Zip

60435

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025