RANDY T VAUGHAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

First Name

RANDY

Middle

Last Name

VAUGHAN

Business Name

RANDY T VAUGHAN

Original Issue Date

10/25/1985

Effective Date

08/01/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2024