DAVID A POWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

POWELL

Suffix

Business Name

DAVID A POWELL MD

Original Issue Date

03/05/1984

Effective Date

08/11/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60603

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023