DEBORAH D VAUGHAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

INOPERATIVE

Business

First Name

DEBORAH

Middle

Last Name

VAUGHAN

Business Name

DEBORAH D VAUGHAN

Original Issue Date

10/02/2014

Effective Date

02/21/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2020