ADAM GRAVES VAUGHAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006006

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

GRAVES

Last Name

VAUGHAN

Business Name

ADAM GRAVES VAUGHAN

Original Issue Date

09/23/2016

Effective Date

02/14/2018

Expiration Date

03/01/2020

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020