ROBERT CHARLES POWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054987

License Status

NOT RENEWED

Business

First Name

ROBERT CHARLES

Last Name

POWELL

Suffix

Business Name

ROBERT CHARLES POWELL MD

Original Issue Date

07/14/1977

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

WAKEFIELD

State

Zip

01880

Ever Disciplined

LastModifiedDate

09/12/2019