LARA M POWERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098789

License Status

NOT RENEWED

Business

First Name

LARA

Middle

Last Name

POWERS

Suffix

Business Name

LARA M POWERS MD

Original Issue Date

08/18/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MARINETTE

State

Zip

54143

Ever Disciplined

LastModifiedDate

11/06/2008