License holder summary

JOHANSEN THEODORA FOWLER is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. This doctor license is not current. The license was granted 06/12/2001.

New York

Office of the Professions

JOHANSEN THEODORA FOWLER
Medicine (Physician, Including M Ds & D Os)
License number
004675
Date granted
06/12/2001
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
nymedicine.org
ID 30142567
LAST UPDATED 2024-03-22 12:05:51 UTC

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