REBECCA C FOWLER IDPR Registered License verification

Business Entity

ACTIVE

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000538

License Status

ACTIVE

Business

First Name

REBECCA

Middle

Last Name

FOWLER

Business Name

REBECCA C FOWLER

Original Issue Date

05/14/2020

Effective Date

11/05/2024

Expiration Date

01/31/2027

City

CLAYTON

State

Zip

27520

Ever Disciplined

LastModifiedDate

11/05/2024