MCKENZIE R YOUNGBLOOD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008385

License Status

ACTIVE

Business

First Name

MCKENZIE

Middle

Last Name

YOUNGBLOOD

Business Name

MCKENZIE R YOUNGBLOOD

Original Issue Date

06/21/2021

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

02/16/2026