Gerald Dwain Fowler
ExpiredIllinois license 044001429
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044001429
- Status
- Expired (Not Renewed)
- First issued
- April 8, 1976
- Expired
- November 30, 1985
- License holder
- Gerald Dwain Fowler
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Oklahoma City, OK 73127
Oklahoma County