BRENT MICHAEL FOWLER - Occupational Therapist License in Missouri | # 056013956

BRENT MICHAEL FOWLER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013956

License Status

NOT RENEWED

Business

N

First Name

BRENT

Middle

MICHAEL

Last Name

FOWLER

Business Name

BRENT MICHAEL FOWLER

Original Issue Date

11/20/2020

Effective Date

12/29/2023

Expiration Date

12/31/2025

State

MO

Ever Disciplined

N

LastModifiedDate

04/01/2026