KELLY MEAD GAUGHEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137326

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

MEAD

Last Name

GAUGHEN

Business Name

KELLY MEAD GAUGHEN DO

Original Issue Date

02/18/2015

Effective Date

02/18/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017