IAN ROBERT POWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157884

License Status

ACTIVE

Business

Title

First Name

IAN

Middle

ROBERT

Last Name

POWELL

Business Name

IAN ROBERT POWELL MD

Original Issue Date

07/29/2021

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

SUN PRAIRIE

State

Zip

53590

Ever Disciplined

LastModifiedDate

05/05/2023