JOHNATHON PRENTICE YOST MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057938

License Status

CANCELLED

Business

Title

First Name

JOHNATHON

Middle

PRENTICE

Last Name

YOST

Business Name

JOHNATHON PRENTICE YOST MD

Original Issue Date

06/27/2013

Effective Date

06/27/2013

Expiration Date

06/26/2014

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/24/2014