ZACHARY PATRICK FALLON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

ZACHARY

Middle

PATRICK

Last Name

FALLON

Business Name

ZACHARY PATRICK FALLON MD

Original Issue Date

07/11/2023

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2025