ELMER J FAVENESI Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002405

License Status

NOT RENEWED

Business

First Name

ELMER J

Last Name

FAVENESI

Business Name

ELMER J FAVENESI

Original Issue Date

08/23/1960

Effective Date

08/23/1960

City

FLORENCE

State

County

ALABAMA

Ever Disciplined

LastModifiedDate

09/25/2006