TODD P POWELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

TODD P

Last Name

POWELL

Suffix

DDS

Business Name

TODD P POWELL DDS

Original Issue Date

03/30/2023

Effective Date

03/30/2023

Expiration Date

09/30/2024

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025