DAVID K POWELL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****66

NOT RENEWED

N

DAVID K

POWELL

MD

DAVID K POWELL MD

08/01/1985

08/01/1985

07/31/1990

QUINCY

IL

62301

ADAMS

II III IV V

N

09/26/2006