BRADLEY KENT VAUGHN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

BRADLEY KENT

Last Name

VAUGHN

Suffix

Business Name

BRADLEY KENT VAUGHN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020