LAWRENCE J POWELL DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****22

ACTIVE

N

LAWRENCE J

POWELL

DO

LAWRENCE J POWELL DO

09/29/1987

06/16/2023

07/31/2026

MCLEANSBORO

IL

62859

LA SALLE

II III IV V

N

06/16/2023