JUDITH VAUGHAN PERRY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

CANCELLED

Business

First Name

JUDITH VAUGHAN

Last Name

PERRY

Suffix

Business Name

JUDITH VAUGHAN PERRY MD

Original Issue Date

06/11/1987

Effective Date

06/11/1987

Expiration Date

07/31/2005

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006