JONATHAN D POWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

Last Name

POWELL

Suffix

Business Name

JONATHAN D POWELL MD

Original Issue Date

07/28/2003

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

BUFFALO GROVE

State

Zip

60089

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023