CHRISTOPHER POWELL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Last Name

POWELL

Suffix

DDS

Business Name

CHRISTOPHER POWELL DDS

Original Issue Date

08/08/1995

Effective Date

07/30/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/30/2024