LAWRENCE DONALD POWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088448

License Status

NOT RENEWED

Business

First Name

LAWRENCE DONALD

Last Name

POWELL

Suffix

Business Name

LAWRENCE DONALD POWELL MD

Original Issue Date

05/23/1994

Effective Date

05/23/1994

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006