RICHARD ROSS FOWLER
Controlled Substance Registration - Physician
Indiana 01014772B Expired
This Indiana license was held by RICHARD ROSS FOWLER. The license is no longer active. It was granted on 10/31/1981 and expired on 10/31/1982
LICENSE DETAILS
- License Number: 01014772B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 10/31/1981 (over 42 years ago)
- Expiry Date: 10/31/1982 (over 41 years ago)
LOCATIONS
A Address
104 NORTH GRANT STREET, BLOOMINGTON IN 47401