JENNIFER M POWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

Last Name

POWELL

Business Name

JENNIFER M POWELL MD

Original Issue Date

05/18/2004

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023