License Directory

Alpha Jeanne Fowler Md

Expired

Illinois license 036059787

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036059787
Status
Expired (Not Renewed)
First issued
November 15, 1979
Expired
July 31, 1993
License holder
Alpha Jeanne Fowler Md
Entity type
Individual

Classifications

More from the license record

Current term began
11/15/1979

Other Illinois licenses under this name

  • IL
    Alpha Jeanne Fowler Md
    License 33*****87
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Centreville, IL
    Expired Jul 31, 1993

Contact

Centreville, IL 62207
Saint Clair County