ZACHARY PATRICK FALLON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

ZACHARY

Middle

PATRICK

Last Name

FALLON

Business Name

ZACHARY PATRICK FALLON MD

Original Issue Date

07/10/2023

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III V

Ever Disciplined

LastModifiedDate

07/10/2023