On November 8, 2004, Fletcher signed a death warrant for Thomas Clyde Bowling, who was convicted of a double murder in 1990 and sentenced to death by lethal injection. A group of doctors requested an investigation by the Kentucky Board of Medical Licensure to determine whether Fletcher's medical license should be revoked for that action. Kentucky requires doctors to follow the guidelines of the American Medical Association, which forbid doctors from participating in an execution. On January 13, 2005, the Board of Medical Licensure found that Fletcher was acting in his capacity as governor, not as a doctor, when he signed the warrant and ruled that his license was not subject to forfeiture by that action.