Idaho
Division of Occupational and Professional Licenses
RANDALL SCOTT FOWLER
Board Of Medicine
License number
M-5953
Date granted
02/15/1992
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Portneuf Medical Center Pocatello ID 83201
idaholicensing.com
ID 48350227
LAST UPDATED 2024-05-02 09:28:37 UTC
LAST UPDATED 2024-05-02 09:28:37 UTC
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