JOHN ROGER POWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036870

License Status

NOT RENEWED

Business

First Name

JOHN ROGER

Last Name

POWELL

Suffix

Business Name

JOHN ROGER POWELL MD

Original Issue Date

01/01/1997

Effective Date

05/23/2017

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021