MICHAEL JOSEPH FALLON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

JOSEPH

Last Name

FALLON

Business Name

MICHAEL JOSEPH FALLON MD

Original Issue Date

06/05/2020

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023