ELIZABETH MAE FOWLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170403

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

MAE

Last Name

FOWLER

Business Name

ELIZABETH MAE FOWLER MD

Original Issue Date

05/28/2024

Effective Date

05/28/2024

Expiration Date

07/31/2026

City

WEST ALLIS

State

Zip

53227

Ever Disciplined

LastModifiedDate

05/28/2024