JUSTIN T FOWLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000815

License Status

EXPIRED

Business

First Name

JUSTIN

Middle

Last Name

FOWLER

Suffix

Business Name

JUSTIN T FOWLER MD

Original Issue Date

02/01/2010

Effective Date

02/01/2010

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

07/08/2010