STACI RENEE YOUNG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

STACI

Middle

RENEE

Last Name

YOUNG

Suffix

Business Name

STACI RENEE YOUNG MD

Original Issue Date

06/22/2005

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023