DANIEL JEFFREY YOUNG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067165

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

JEFFREY

Last Name

YOUNG

Business Name

DANIEL JEFFREY YOUNG MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

05/08/2018