MARTIN J FOWLER JR DO - Medical Doctor License in Virginia | # 036132633

MARTIN J FOWLER JR DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132633

License Status

NOT RENEWED

Business

N

Title

DO

First Name

MARTIN

Middle

J

Last Name

FOWLER

Suffix

JR

Business Name

MARTIN J FOWLER JR DO

Original Issue Date

04/24/2013

Effective Date

08/24/2020

Expiration Date

07/31/2023

State

VA

Ever Disciplined

N

LastModifiedDate

11/30/2023