SUSAN MARIE VAUGHAN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045934

License Status

CANCELLED

Business

First Name

SUSAN

Middle

MARIE

Last Name

VAUGHAN

Business Name

SUSAN MARIE VAUGHAN

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

06/22/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006