MARC ALIREZA FALLAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

MARC

Middle

ALIREZA

Last Name

FALLAH

Suffix

Business Name

MARC ALIREZA FALLAH MD

Original Issue Date

11/18/2002

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023