EVANDA OCTAVIA YOUNG Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003752

License Status

INACTIVE

Business

First Name

EVANDA OCTAVIA

Last Name

YOUNG

Business Name

EVANDA OCTAVIA YOUNG

Original Issue Date

07/24/1984

Effective Date

07/24/1984

Expiration Date

01/31/1999

City

FREEPORT

State

Zip

11520

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/25/2006