ANNETTE CLARICE VAUGHN-BOSTIC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103804

License Status

ACTIVE

Business

First Name

ANNETTE

Middle

CLARICE

Last Name

VAUGHN-BOSTIC

Suffix

Business Name

ANNETTE CLARICE VAUGHN-BOSTIC MD

Original Issue Date

11/15/2000

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023