ROGER G YOUNG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

ACTIVE

Business

First Name

ROGER G

Last Name

YOUNG

Business Name

ROGER G YOUNG

Original Issue Date

04/04/2005

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

SALEM

State

Zip

62881

County

MARION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026