VAUGHN JOSEPH CLEMENS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

VAUGHN

Middle

JOSEPH

Last Name

CLEMENS

Suffix

DDS

Business Name

VAUGHN JOSEPH CLEMENS DDS

Original Issue Date

06/25/2002

Effective Date

06/25/2002

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005