JEFFREY DAVID POWELL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

DAVID

Last Name

POWELL

Business Name

JEFFREY DAVID POWELL DO

Original Issue Date

07/17/2024

Effective Date

07/17/2024

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026