MADISON LEIGH FALLIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086625

License Status

ACTIVE

Business

Title

First Name

MADISON

Middle

LEIGH

Last Name

FALLIS

Business Name

MADISON LEIGH FALLIS DO

Original Issue Date

06/16/2025

Effective Date

06/16/2025

Expiration Date

06/15/2028

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/12/2025