LAURA M FALL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023924

License Status

EXPIRED

Business

First Name

LAURA M

Last Name

FALL

Business Name

LAURA M FALL

Original Issue Date

05/23/1989

Effective Date

05/23/1989

Expiration Date

07/01/1992

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006