DAVID DONG YUAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

DONG

Last Name

YUAN

Business Name

DAVID DONG YUAN MD

Original Issue Date

11/20/2014

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62024

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023