EVANDA OCTAVIA YOUNG Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

EVANDA OCTAVIA

Last Name

YOUNG

Business Name

EVANDA OCTAVIA YOUNG

Original Issue Date

08/16/1984

Effective Date

08/16/1984

Expiration Date

01/31/1997

City

MATTESON

State

Zip

60443

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006