Massachusetts
Division of Professional Licensure
Louis P Favata
Physician Assistants - Physician Assistant
License number
PA1505
Date granted
09/10/2002
Date expires
03/01/2017
Class
Physician Assistants - Physician Assistant
Status
Current
Address
United States
licensingma.org
ID 38520204
LAST UPDATED 2024-04-01 18:02:55 UTC
LAST UPDATED 2024-04-01 18:02:55 UTC
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