JEFFREY D FOWLER - Dentist License in Ae | # 019021061

JEFFREY D FOWLER

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021061

License Status

INACTIVE

Business

N

First Name

JEFFREY D

Last Name

FOWLER

Business Name

JEFFREY D FOWLER

Original Issue Date

03/30/1988

Effective Date

03/30/1988

Expiration Date

09/30/1990

State

AE

Ever Disciplined

N

LastModifiedDate

10/12/2005