KEVIN THOMAS POWELL MD - Medical Doctor License in Missouri | # 036092652

KEVIN THOMAS POWELL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092652

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

THOMAS

Last Name

POWELL

Suffix

MD

Business Name

KEVIN THOMAS POWELL MD

Original Issue Date

05/02/1996

Effective Date

05/29/2007

Expiration Date

07/31/2008

State

MO

Ever Disciplined

N

LastModifiedDate

11/06/2008