CARSON J POWELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082700

License Status

EXPIRED

Business

Title

First Name

CARSON

Middle

Last Name

POWELL

Business Name

CARSON J POWELL MD

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

06/21/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/30/2024