JEFFREY DAVID POWELL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170637

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

DAVID

Last Name

POWELL

Business Name

JEFFREY DAVID POWELL DO

Original Issue Date

06/18/2024

Effective Date

06/18/2024

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

04/23/2025