License holder summary

Mary E Fallat is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mary E Fallat is UNIVERSITY SURGICAL ASSOC, 1701 SPRING ST, JEFFERSONVILLE IN 47130. This licensed professional license is not current. The license was granted 05/09/1991 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

Mary E Fallat
Controlled Substance Registration - Physician
License number
01038894B
Date granted
05/09/1991
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
UNIVERSITY SURGICAL ASSOC, 1701 SPRING ST, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5873653
LAST UPDATED 2026-06-18 23:27:38 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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