LYNNE SUSAN POWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134635

License Status

NOT RENEWED

Business

Title

First Name

LYNNE

Middle

SUSAN

Last Name

POWELL

Business Name

LYNNE SUSAN POWELL MD

Original Issue Date

02/20/2014

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023