KEISHA MARTINEZ POWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140456

License Status

ACTIVE

Business

Title

First Name

KEISHA

Last Name

MARTINEZ POWELL

Business Name

KEISHA MARTINEZ POWELL MD

Original Issue Date

04/21/2016

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/14/2023