DIANE YOUNG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006612

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

YOUNG

Business Name

DIANE YOUNG

Original Issue Date

07/03/2018

Effective Date

07/03/2018

Expiration Date

03/01/2020

City

ELLICOTT CITY

State

Zip

21043

Ever Disciplined

LastModifiedDate

11/24/2020