SHANNON MARIE POWERS DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****75

ACTIVE

N

DO

SHANNON

MARIE

POWERS

SHANNON MARIE POWERS DO

02/21/2018

07/20/2023

07/31/2026

SKOKIE

IL

60076

COOK

PRACTITIONER

II III IV V

N

07/20/2023