JONATHON LEE FALLIS DPM - Podiatrist License in Missouri | # 016004851

JONATHON LEE FALLIS DPM

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004851

License Status

INACTIVE

Business

N

First Name

JONATHON LEE

Last Name

FALLIS

Suffix

DPM

Business Name

JONATHON LEE FALLIS DPM

Original Issue Date

10/10/1997

Effective Date

11/19/2008

Expiration Date

01/31/2011

State

MO

Ever Disciplined

N

LastModifiedDate

11/03/2010