DOUGLAS C POWELL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029936

License Status

EXPIRED

Business

First Name

DOUGLAS C

Last Name

POWELL

Suffix

Business Name

DOUGLAS C POWELL DO

Original Issue Date

05/28/1993

Effective Date

05/28/1993

Expiration Date

06/20/1996

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006