STEPHANIE POWELL - Physician Assistant License in Illinois | # 085001414

STEPHANIE POWELL

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001414

License Status

ACTIVE

Business

N

First Name

STEPHANIE

Last Name

POWELL

Business Name

STEPHANIE POWELL

Original Issue Date

07/14/2000

Effective Date

02/23/2024

Expiration Date

03/01/2026

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025