MICHAEL ANTHONY FALLON
Idaho M-6892 Canceled
This Idaho license was held by MICHAEL ANTHONY FALLON. The license is no longer active. It was granted on 12/02/1995 and expired on 06/30/2007
LICENSE DETAILS
- License Number: M-6892
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 12/02/1995 (over 28 years ago)
- Expiry Date: 06/30/2007 (almost 17 years ago)
LOCATIONS
A Residential
1217 CALLE DEL S EL PASO TX 79913