ROBERT WILLIAM YOUNG DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

WILLIAM

Last Name

YOUNG

Suffix

DMD

Business Name

ROBERT WILLIAM YOUNG DMD

Original Issue Date

03/23/1989

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/04/2009