JENNIFER S POWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

POWELL

Suffix

Business Name

JENNIFER S POWELL MD

Original Issue Date

02/11/2002

Effective Date

02/11/2002

Expiration Date

07/31/2008

City

CLINTON

State

Zip

61727

County

DE WITT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008