SUZANNE V POWELL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

Last Name

POWELL

Business Name

SUZANNE V POWELL

Original Issue Date

07/19/2001

Effective Date

07/19/2001

Expiration Date

07/31/2008

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017