SHANELE MCGOWAN VAUGHN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058757

License Status

CANCELLED

Business

Title

First Name

SHANELE

Middle

MCGOWAN

Last Name

VAUGHN

Business Name

SHANELE MCGOWAN VAUGHN MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Clinical Neurophysiology

Ever Disciplined

LastModifiedDate

04/30/2014