FREDERICK EDWARD YOUNGBLOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099318

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

EDWARD

Last Name

YOUNGBLOOD

Suffix

Business Name

FREDERICK EDWARD YOUNGBLOOD MD

Original Issue Date

11/23/1998

Effective Date

11/23/1998

Expiration Date

07/31/1999

City

FESTUS

State

Zip

63028

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006