Lisa Jane Faia
Medical - Physician And Surgeon
Minnesota 46977 Inactive
This Minnesota license was held by Lisa Jane Faia. The license is no longer active. It was granted on 09/11/2004 and expired on 04/30/2014
LICENSE DETAILS
- License Number: 46977
- Category: Physician and Surgeon
- Status: Inactive
- Date Granted: 09/11/2004 (over 20 years ago)
- Expiry Date: 04/30/2014 (about 11 years ago)
LOCATIONS
A Licensure Designated Address
555 South Old Woodward Avenue #1106, Birmingham, MI 48009