TANYA MARIE POWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111022

License Status

ACTIVE

Business

First Name

TANYA

Middle

MARIE

Last Name

POWELL

Suffix

Business Name

TANYA MARIE POWELL MD

Original Issue Date

03/17/2004

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

06/06/2023