SHANNON KRISTY POWELL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061700

License Status

EXPIRED

Business

Title

First Name

SHANNON

Middle

KRISTY

Last Name

POWELL

Business Name

SHANNON KRISTY POWELL DO

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/21/2015

City

MANDEVILLE

State

Zip

70448

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/14/2025