JENNIFER M POWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110704

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

Last Name

POWELL

Business Name

JENNIFER M POWELL MD

Original Issue Date

01/20/2004

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

MOMENCE

State

Zip

60954

Ever Disciplined

LastModifiedDate

06/10/2023