MCKENZIE R YOUNGBLOOD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

ACTIVE

Business

First Name

MCKENZIE

Middle

Last Name

YOUNGBLOOD

Business Name

MCKENZIE R YOUNGBLOOD

Original Issue Date

07/26/2022

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2026