MARY LESLIE FALLS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

MARY

Middle

LESLIE

Last Name

FALLS

Suffix

Business Name

MARY LESLIE FALLS MD

Original Issue Date

08/18/1999

Effective Date

08/18/1999

Expiration Date

07/31/2002

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006