MARVIN FISHER POWERS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****37

NOT RENEWED

N

MARVIN FISHER

POWERS

MD

MARVIN FISHER POWERS MD

01/01/1997

06/13/2014

07/31/2017

GOLCONDA

IL

62938

POPE

II III IV V

Y

11/01/2017

1985000577

Suspension

11/25/1986

11/25/1987