FORREST YEAKLEY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

FORREST

Last Name

YEAKLEY

Business Name

FORREST YEAKLEY DO

Original Issue Date

05/11/2021

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023