REGINA MOORE POWERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

REGINA

Middle

MOORE

Last Name

POWERS

Suffix

Business Name

REGINA MOORE POWERS MD

Original Issue Date

07/21/1998

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023