Theron Laneal Bowman
ActiveMichigan license EMC0007172
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0007172
- Status
- Active
- First issued
- May 13, 2025
- Expires
- May 13, 2028
- License holder
- Theron Laneal Bowman
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
11468 Deer Valley Drive
Flower Mound, TX 76262
Flower Mound, TX 76262