GERALD DWAIN FOWLER - Nursing Home Administrator License in Oklahoma | # 044001429

GERALD DWAIN FOWLER

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001429

License Status

NOT RENEWED

Business

N

First Name

GERALD DWAIN

Last Name

FOWLER

Business Name

GERALD DWAIN FOWLER

Original Issue Date

04/08/1976

Expiration Date

11/30/1985

State

OK

Ever Disciplined

N

LastModifiedDate

05/27/2005