KENNETH RAY YOUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

RAY

Last Name

YOUNG

Suffix

Business Name

KENNETH RAY YOUNG MD

Original Issue Date

02/16/2001

Effective Date

02/16/2001

Expiration Date

07/31/2008

City

MAKANDA

State

Zip

62958

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017