Licensee Verification: Details - WV Board of Osteopathic Medicine

5/14/20, 3*53 PM

WV Board of Osteopathic Medicine

Licensee Verification: Details
Name

Title

License Number

Status

Office Address

Jonathan David Yates

D.O.

2379

Active

200 Veterans Avenue
Beckley, WV 25801

License Date

Expiration Date

Other State Licenses

Primary Specialty
(Self-Designated)

02/04/2009

06/30/2020

VA

FP

Secondary Specialty
(Self-Designated)

Controlled Substance License
CSL Number

CSL Expiration Date

OY2143

06/30/2017

Discipline History
Action Taken

Date Action Taken

Public Disciplinary Documents
None

Other History
License History

Date of Action

Education History
Medical School

https://www.wvbdosteo.org/verify/details.asp

Graduation Date

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 Licensee Verification: Details - WV Board of Osteopathic Medicine

KCOM

5/14/20, 3*53 PM

1997

Postgraduate Training

Graduation Date

United Health Svcs - Johnson City

2000

This data was retrieved on 05-14-2020.
Primary Source Verification from the West Virginia Board of Osteopathic Medicine.

https://www.wvbdosteo.org/verify/details.asp

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