MARK S REGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085196

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

Last Name

REGAN

Business Name

MARK S REGAN MD

Original Issue Date

08/18/1992

Effective Date

09/09/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61104

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/30/2023