EVANDA OCTAVIA YOUNG - Podiatrist License in New York | # 016003752

EVANDA OCTAVIA YOUNG

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003752

License Status

INACTIVE

Business

N

First Name

EVANDA OCTAVIA

Last Name

YOUNG

Business Name

EVANDA OCTAVIA YOUNG

Original Issue Date

07/24/1984

Effective Date

07/24/1984

Expiration Date

01/31/1999

State

NY

Ever Disciplined

N

LastModifiedDate

09/25/2006