KRISTA DIONNE YOUNG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

KRISTA

Middle

DIONNE

Last Name

YOUNG

Business Name

KRISTA DIONNE YOUNG DO

Original Issue Date

08/12/2022

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023