DEANNE JANET FOWLER - Physician Assistant License in South Carolina | # 085004491

DEANNE JANET FOWLER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004491

License Status

NOT RENEWED

Business

N

First Name

DEANNE

Middle

JANET

Last Name

FOWLER

Business Name

DEANNE JANET FOWLER

Original Issue Date

10/09/2012

Effective Date

03/02/2022

Expiration Date

03/01/2024

State

SC

Ever Disciplined

N

LastModifiedDate

02/05/2025