P DOUGLAS YOUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

Middle

DOUGLAS

Last Name

YOUNG

Suffix

Business Name

P DOUGLAS YOUNG MD

Original Issue Date

03/16/2006

Effective Date

03/16/2006

Expiration Date

07/31/2008

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011