BURT FOWLER TAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041053

License Status

NOT RENEWED

Business

First Name

BURT FOWLER

Last Name

TAYLOR

Suffix

Business Name

BURT FOWLER TAYLOR MD

Original Issue Date

05/25/1967

Effective Date

05/25/1967

City

MOBILE

State

Zip

36608

County

ALABAMA

Ever Disciplined

LastModifiedDate

09/20/2006