AVERY C POWELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

AVERY

Middle

Last Name

POWELL

Suffix

DDS

Business Name

AVERY C POWELL DDS

Original Issue Date

10/23/1998

Effective Date

09/28/2009

Expiration Date

09/30/2012

City

MATTESON

State

Zip

60443

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/28/2025