FRED J POWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057171

License Status

NOT RENEWED

Business

First Name

FRED J

Last Name

POWELL

Suffix

Business Name

FRED J POWELL MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

Expiration Date

07/31/1987

City

BOCA RATAN

State

Zip

33433

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/01/2010