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THIS IS NOT AN OFFICIAL LICENSE VERIFICATION

General Information

  • Mark J. Fowler, M.D.
  • Name:
  • OB/GYN
  • Primary Specialty:

Address Information

  • 1521 North 10th Street
  • Mailing Address:
  • Suite A
  • Address 2:
  • Blytheville, AR 72315
  • City/State/Zip:
  • (870) 838-7277
  • Phone:
  • (870) 838-7283
  • Fax:

License Information

  • E-7648
  • License Number:
  • 08/03/2012
  • Original Issue Date:
  • 12/31/2015
  • Expiration Date:
  • Exam
  • Basis:
  • Active
  • License Status:
  • Unlimited
  • License Category:
  • T2012-035
  • License Number:
  • 06/08/2012
  • Original Issue Date:
  • 08/03/2012
  • Expiration Date:
  • Exam
  • Basis:
  • Inactive
  • License Status:
  • Temporary
  • License Category:

THIS IS NOT AN OFFICIAL LICENSE VERIFICATION