MICHAEL DAVID FALLON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058028

License Status

NOT RENEWED

Business

First Name

MICHAEL DAVID

Last Name

FALLON

Suffix

Business Name

MICHAEL DAVID FALLON MD

Original Issue Date

11/20/1978

Effective Date

11/20/1978

Expiration Date

07/31/1984

City

GLENDALE

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006