SUZANNE V POWELL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105226

License Status

ACTIVE

Business

First Name

SUZANNE

Middle

Last Name

POWELL

Business Name

SUZANNE V POWELL

Original Issue Date

07/17/2001

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

GREEN BAY

State

Zip

54302

County

BROWN

Ever Disciplined

LastModifiedDate

05/25/2023