SUSAN M FOWELL MD
Licensed Physician Controlled Substance (Schedules Ii Iii Iin Iiin Iv V )
Illinois 336036961 Canceled
This Illinois license was held by SUSAN M FOWELL MD. The license is no longer active. It was granted on 07/30/1990 and expired on 07/31/1993
LICENSE DETAILS
- License Number: 336036961
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE (Schedules II III IIN IIIN IV V )
- Status: Canceled
- Date Granted: 07/30/1990 (almost 35 years ago)
- Expiry Date: 07/31/1993 (almost 32 years ago)
LOCATIONS
A Address
STERLING, IL 61081