VAUGHN JOSEPH DEGUZMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

First Name

VAUGHN

Middle

JOSEPH

Last Name

DEGUZMAN

Business Name

VAUGHN JOSEPH DEGUZMAN

Original Issue Date

07/12/2002

Effective Date

08/25/2024

Expiration Date

09/30/2027

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/25/2024