RICHARD SIDNEY VAUGHN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

SIDNEY

Last Name

VAUGHN

Suffix

Business Name

RICHARD SIDNEY VAUGHN MD

Original Issue Date

07/01/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011