ALPHA JEANNE FOWLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059787

License Status

NOT RENEWED

Business

First Name

ALPHA

Middle

JEANNE

Last Name

FOWLER

Suffix

Business Name

ALPHA JEANNE FOWLER MD

Original Issue Date

11/15/1979

Effective Date

11/15/1979

Expiration Date

07/31/1993

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/20/2009