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
LAST UPDATED 2024-03-14 17:34:49 UTC
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