MARK EDWARD YOUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

MARK

Middle

EDWARD

Last Name

YOUNG

Suffix

Business Name

MARK EDWARD YOUNG MD

Original Issue Date

07/27/2000

Effective Date

07/27/2000

Expiration Date

07/31/2005

City

CHARLESTON

State

Zip

61920

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006