TRACI E POWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106740

License Status

ACTIVE

Business

Title

First Name

TRACI

Middle

Last Name

POWELL

Business Name

TRACI E POWELL MD

Original Issue Date

04/10/2002

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

BAKERSFIELD

State

Zip

93314

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2023