EDWARD M FOWLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007618

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

FOWLER

Business Name

EDWARD M FOWLER

Original Issue Date

08/04/2016

Effective Date

12/23/2021

Expiration Date

09/30/2023

City

PEOTONE

State

Zip

60468

County

WILL

Ever Disciplined

LastModifiedDate

02/02/2024