JEFFREY A YOUNG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****27

License Status

NOT RENEWED

Business

First Name

JEFFREY A

Last Name

YOUNG

Suffix

Business Name

JEFFREY A YOUNG OD

Original Issue Date

06/26/1996

Expiration Date

03/31/1998

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/02/2005