THOMAS V POWELL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

ACTIVE

Business

First Name

THOMAS V

Last Name

POWELL

Business Name

THOMAS V POWELL

Original Issue Date

08/14/1986

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024