License holder summary

RICHARD ROSS FOWLER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RICHARD ROSS FOWLER is 104 NORTH GRANT STREET, BLOOMINGTON IN 47401. This licensed professional license is not current. The license was granted 10/31/1981 and expired on 10/31/1982.

Indiana

Professional Licensing Agency

RICHARD ROSS FOWLER
Controlled Substance Registration - Physician
License number
01014772B
Date granted
10/31/1981
Date expires
10/31/1982
Class
Controlled Substance Registration - Physician
Status
Expired
Address
104 NORTH GRANT STREET, BLOOMINGTON IN 47401
indianalicensing.org
ID 5825605
LAST UPDATED 2024-03-16 00:28:32 UTC

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