JONATHON LEE FALLIS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

JONATHON LEE

Last Name

FALLIS

Suffix

DPM

Business Name

JONATHON LEE FALLIS DPM

Original Issue Date

12/12/1997

Effective Date

11/19/2008

Expiration Date

01/31/2011

City

GOLDEN

State

Zip

62339

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011