License holder summary

FOWLER, DIANA MICHELLE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for FOWLER, DIANA MICHELLE is 162 NORTHRIDGE DR., Macon 31220. This doctor license is current. The license was granted 12/02/1993 and expired on 08/31/2016.

Georgia

Composite Medical Board

FOWLER, DIANA MICHELLE
Medical - Physician Assistant
License number
002468
Date granted
12/02/1993
Date expires
08/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
162 NORTHRIDGE DR.
georgiadoctors.net
ID 38098083
LAST UPDATED 2024-05-11 04:00:37 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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