DOUGLAS C POWELL DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****48

NOT RENEWED

N

DOUGLAS C

POWELL

DO

DOUGLAS C POWELL DO

02/20/1996

02/20/1996

07/31/1999

NAPERVILLE

IL

60563

DUPAGE

II III IV V

N

09/26/2006