MATTHEW ALLEN POWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107736

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

ALLEN

Last Name

POWELL

Suffix

Business Name

MATTHEW ALLEN POWELL MD

Original Issue Date

08/23/2002

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

LAKE SAINT LOUIS

State

Zip

63367

Ever Disciplined

LastModifiedDate

07/07/2023