JONATHON LEE FALLIS DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004851

License Status

INACTIVE

Business

First Name

JONATHON LEE

Last Name

FALLIS

Suffix

DPM

Business Name

JONATHON LEE FALLIS DPM

Original Issue Date

10/10/1997

Effective Date

11/19/2008

Expiration Date

01/31/2011

City

MOBERLY

State

Zip

65270

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/03/2010