License Directory

Glenn Wayne Fowler Md

Inactive

Illinois license 036040883

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036040883
Status
Inactive
First issued
January 20, 1967
Expired
July 31, 1987
License holder
Glenn Wayne Fowler Md
Entity type
Individual

Classifications

More from the license record

Current term began
01/20/1967

Contact

Orange, CA 92668
California County