TODD P POWELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

TODD P

Last Name

POWELL

Suffix

DDS

Business Name

TODD P POWELL DDS

Original Issue Date

11/16/1990

Effective Date

11/16/1990

Expiration Date

09/30/2006

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006