SARAH S FOWLER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099520

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

FOWLER

Business Name

SARAH S FOWLER

Original Issue Date

01/19/1999

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023