MICHAEL MATTHEW YOUNG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067578

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

MATTHEW

Last Name

YOUNG

Business Name

MICHAEL MATTHEW YOUNG DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

06/10/2015