TRISHA MARIE YOUNG DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

TRISHA

Middle

MARIE

Last Name

YOUNG

Suffix

DMD

Business Name

TRISHA MARIE YOUNG DMD

Original Issue Date

08/06/2010

Effective Date

06/26/2012

Expiration Date

09/30/2015

City

COLUMBIA

State

Zip

62236

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016