KEVIN THOMAS POWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092652

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

THOMAS

Last Name

POWELL

Suffix

Business Name

KEVIN THOMAS POWELL MD

Original Issue Date

05/02/1996

Effective Date

05/29/2007

Expiration Date

07/31/2008

City

SAINT LOUIS

State

Zip

63108

Ever Disciplined

LastModifiedDate

11/06/2008