JAMES S POWELL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111788

License Status

ACTIVE

Business

First Name

JAMES

Middle

Last Name

POWELL

Business Name

JAMES S POWELL

Original Issue Date

07/07/2004

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

07/08/2023