EDWARD M FOWLER - Physical Therapist License in Illinois | # 160007618

EDWARD M FOWLER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007618

License Status

NOT RENEWED

Business

N

First Name

EDWARD

Middle

M

Last Name

FOWLER

Business Name

EDWARD M FOWLER

Original Issue Date

08/04/2016

Effective Date

12/23/2021

Expiration Date

09/30/2023

State

IL

Ever Disciplined

N

LastModifiedDate

02/02/2024