LEANN BETH YOUNG Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

LEANN

Middle

BETH

Last Name

YOUNG

Business Name

LEANN BETH YOUNG

Original Issue Date

03/16/2001

Effective Date

12/21/2025

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/21/2025