JEFFREY A YOUNG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

NOT RENEWED

Business

First Name

JEFFREY A

Last Name

YOUNG

Suffix

Business Name

JEFFREY A YOUNG OD

Original Issue Date

09/11/1997

Effective Date

05/18/2022

Expiration Date

03/31/2024

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025