STEPHANIE POWELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Last Name

POWELL

Business Name

STEPHANIE POWELL

Original Issue Date

03/25/2008

Effective Date

02/16/2022

Expiration Date

03/01/2024

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025