License holder summary

Grace Elaine Fowler is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Grace Elaine Fowler is 626 Prairie Street, Vincennes IN 47591. This licensed professional license is current. The license was granted 12/13/2006 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Grace Elaine Fowler
Controlled Substance Registration-Osteopathic Physician
License number
02003008B
Date granted
12/13/2006
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
626 Prairie Street, Vincennes IN 47591
indianalicensing.org
ID 5815049
LAST UPDATED 2024-03-14 17:34:49 UTC

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