MARY REGINA ROYAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071795

License Status

CANCELLED

Business

Title

First Name

MARY

Middle

REGINA

Last Name

ROYAN

Business Name

MARY REGINA ROYAN MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/02/2018