GRACE ELAINE FOWLER DO
Temporary Medical Permit
Illinois 125037529 Expired
This Illinois license was held by GRACE ELAINE FOWLER DO. The license is no longer active. It was granted on 05/07/1998 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 125037529
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 05/07/1998 (about 27 years ago)
- Expiry Date: 06/30/2001 (almost 24 years ago)
LOCATIONS
A Address
Mount Carmel, IL 62863