License holder summary

RANDALL SCOTT FOWLER is a Board Of Medicine licensed to practice in Idaho. The address on file for RANDALL SCOTT FOWLER is Portneuf Medical Center Pocatello ID 83201. This licensed professional license is current. The license was granted 02/15/1992 and expired on 06/30/2017.

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 2024-03-01 08:55:44 UTC

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