SHANELE MCGOWAN VAUGHN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

SHANELE

Middle

MCGOWAN

Last Name

VAUGHN

Business Name

SHANELE MCGOWAN VAUGHN MD

Original Issue Date

08/15/2014

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

OAKLAWN

State

Zip

60453

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023