DOUGLAS C POWELL DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****49

NOT RENEWED

N

DOUGLAS C

POWELL

DO

DOUGLAS C POWELL DO

09/09/1996

09/09/1996

07/31/1999

NAPERVILLE

IL

60540

DUPAGE

II III IV V

N

09/26/2006