BRENT MICHAEL FOWLER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013956

License Status

ACTIVE

Business

First Name

BRENT

Middle

MICHAEL

Last Name

FOWLER

Business Name

BRENT MICHAEL FOWLER

Original Issue Date

11/20/2020

Effective Date

12/29/2023

Expiration Date

12/31/2025

City

INDEPENDENCE

State

Zip

64055

Ever Disciplined

LastModifiedDate

10/02/2025