SUSAN MARIE VAUGHAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

SUSAN

Middle

MARIE

Last Name

VAUGHAN

Business Name

SUSAN MARIE VAUGHAN

Original Issue Date

05/21/2007

Effective Date

08/02/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2023