MARTA R BOWEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107215

License Status

NOT RENEWED

Business

First Name

MARTA

Middle

Last Name

BOWEN

Business Name

MARTA R BOWEN

Original Issue Date

06/13/2002

Effective Date

06/13/2002

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006