RUSSELL DAVID YANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

RUSSELL

Middle

DAVID

Last Name

YANG

Business Name

RUSSELL DAVID YANG MD

Original Issue Date

09/18/2008

Effective Date

06/17/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014