ALLISON REGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151555

License Status

NOT RENEWED

Business

Title

First Name

ALLISON

Last Name

REGAN

Business Name

ALLISON REGAN MD

Original Issue Date

01/14/2020

Effective Date

01/14/2020

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

Ever Disciplined

LastModifiedDate

01/14/2021