LEROY LOUIS YATES JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

LEROY

Middle

LOUIS

Last Name

YATES

Suffix

JR MD

Business Name

LEROY LOUIS YATES JR MD

Original Issue Date

11/03/1987

Effective Date

10/11/2016

Expiration Date

07/31/2017

City

DAVENPORT

State

Zip

52807

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017