WILLIAM FALLER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040747

License Status

INACTIVE

Business

First Name

WILLIAM

Last Name

FALLER

Suffix

Business Name

WILLIAM FALLER MD

Original Issue Date

12/24/1966

Effective Date

12/24/1966

Expiration Date

07/31/1987

City

KEWAUNEE

State

Zip

54216

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006