RALPH EDWIN POWELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049433

License Status

EXPIRED

Business

First Name

RALPH

Middle

EDWIN

Last Name

POWELL

Suffix

Business Name

RALPH EDWIN POWELL MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/26/2008