JENNIFER S POWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105990

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

POWELL

Suffix

Business Name

JENNIFER S POWELL MD

Original Issue Date

12/17/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LEBANON

State

Zip

65536

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/06/2008