GRACE ELAINE FOWLER DO
Licensed Physician Controlled Substance (Schedules Ii Iii Iin Iiin Iv V )
Illinois 336064247 Not Renewed
This Illinois license was held by GRACE ELAINE FOWLER DO. The license is no longer active. It was granted on 11/01/2000 and expired on 07/31/2008
LICENSE DETAILS
- License Number: 336064247
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE (Schedules II III IIN IIIN IV V )
- Status: Not Renewed
- Date Granted: 11/01/2000 (over 24 years ago)
- Expiry Date: 07/31/2008 (almost 17 years ago)
LOCATIONS
A Address
MOUNT CARMEL, IL 62863