LAURA M FALL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084068

License Status

INACTIVE

Business

First Name

LAURA M

Last Name

FALL

Business Name

LAURA M FALL

Original Issue Date

03/05/1992

Effective Date

03/05/1992

Expiration Date

07/31/1993

City

TWIN FALLS

State

Zip

83301

County

IDAHO

Ever Disciplined

LastModifiedDate

09/20/2006