Grace Elaine Fowler
Controlled Substance Registration-Osteopathic Physician
Indiana 02003008B Active
This Indiana license is held by Grace Elaine Fowler. The license is currently active. It was granted on 12/13/2006 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 02003008B
- Category: CSR-Osteopathic Physician
- Status: Active
- Date Granted: 12/13/2006 (over 18 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
626 Prairie Street, Vincennes IN 47591
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