AUSTIN CHASE POWELL DMD - Dentist License in Illinois | # 018001698

AUSTIN CHASE POWELL DMD

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001698

License Status

EXPIRED

Business

N

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

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018