AUSTIN CHASE POWELL DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001698

License Status

EXPIRED

Business

First Name

AUSTIN

Middle

CHASE

Last Name

POWELL

Suffix

DMD

Business Name

AUSTIN CHASE POWELL DMD

Original Issue Date

06/30/2008

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018