JOHN ROGER POWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

JOHN ROGER

Last Name

POWELL

Suffix

Business Name

JOHN ROGER POWELL MD

Original Issue Date

01/01/1997

Effective Date

07/02/2008

Expiration Date

07/31/2011

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020