TERRY M POWERS JR DMD

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****18

NOT RENEWED

N

DMD

TERRY

M

POWERS

JR

TERRY M POWERS JR DMD

10/02/2009

08/03/2015

09/30/2018

CARBONDALE

IL

62901

JACKSON

PRACTITIONER

II III IV V

N

10/31/2018