LAWRENCE J POWELL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075787

License Status

ACTIVE

Business

First Name

LAWRENCE J

Last Name

POWELL

Suffix

Business Name

LAWRENCE J POWELL DO

Original Issue Date

08/29/1987

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

06/16/2023