ANDREW NOLAND POWELL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079362

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

NOLAND

Last Name

POWELL

Business Name

ANDREW NOLAND POWELL DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2026

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

06/18/2025