GERALD DWAIN FOWLER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001429

License Status

NOT RENEWED

Business

First Name

GERALD DWAIN

Last Name

FOWLER

Business Name

GERALD DWAIN FOWLER

Original Issue Date

04/08/1976

Expiration Date

11/30/1985

City

OKLAHOMA CITY

State

Zip

73127

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

05/27/2005