RANDY T VAUGHAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

Last Name

VAUGHAN

Business Name

RANDY T VAUGHAN

Original Issue Date

07/29/1985

Effective Date

07/29/1985

Expiration Date

09/30/1986

City

PALATINE

State

Zip

60067

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005