JAMES MANUS REGAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062242

License Status

EXPIRED

Business

Title

First Name

JAMES

Middle

MANUS

Last Name

REGAN

Business Name

JAMES MANUS REGAN MD

Original Issue Date

06/27/2015

Effective Date

06/27/2015

Expiration Date

06/26/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/19/2017