SEAN W POWERS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076470

License Status

CANCELLED

Business

Title

First Name

SEAN

Middle

Last Name

POWERS

Business Name

SEAN W POWERS DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/14/2020