KELLY MEAD GAUGHEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061416

License Status

EXPIRED

Business

Title

First Name

KELLY

Middle

MEAD

Last Name

GAUGHEN

Business Name

KELLY MEAD GAUGHEN DO

Original Issue Date

06/28/2012

Effective Date

06/28/2012

Expiration Date

06/27/2015

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/04/2015