KIMBERLY NICHOLE POWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140805

License Status

ACTIVE

Business

Title

First Name

KIMBERLY

Middle

NICHOLE

Last Name

POWELL

Business Name

KIMBERLY NICHOLE POWELL MD

Original Issue Date

06/02/2016

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/27/2023