Idaho
Division of Occupational and Professional Licenses
JAMES B. FOWLER
Board Of Medicine
License number
M-3206
Date granted
07/17/1973
Date expires
07/03/1986
Class
Board Of Medicine
Status
Canceled
Address
1312 N. Grand N., Ste. 406 Pueblo CO 81003
idaholicensing.com
ID 48350220
LAST UPDATED 2024-03-04 01:09:23 UTC
LAST UPDATED 2024-03-04 01:09:23 UTC
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