MARTIN J FOWLER JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132633

License Status

NOT RENEWED

Business

Title

First Name

MARTIN

Middle

Last Name

FOWLER

Suffix

Business Name

MARTIN J FOWLER JR DO

Original Issue Date

04/24/2013

Effective Date

08/24/2020

Expiration Date

07/31/2023

City

RESTON

State

Zip

20190

Ever Disciplined

LastModifiedDate

11/30/2023