ANGELA K FALLAW Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004450

License Status

INACTIVE

Business

First Name

ANGELA K

Last Name

FALLAW

Business Name

ANGELA K FALLAW

Original Issue Date

06/23/1990

Effective Date

06/23/1990

Expiration Date

01/31/1991

City

OSCEOLA

State

Zip

46561

County

INDIANA

Ever Disciplined

LastModifiedDate

09/25/2006