DAVID K POWELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070582

License Status

INACTIVE

Business

First Name

DAVID K

Last Name

POWELL

Suffix

Business Name

DAVID K POWELL MD

Original Issue Date

05/23/1985

Effective Date

05/23/1985

Expiration Date

07/31/1990

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Ever Disciplined

LastModifiedDate

02/02/2009