GARY M REAGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

REAGAN

Suffix

Business Name

GARY M REAGAN MD

Original Issue Date

09/17/1990

Effective Date

09/17/1990

Expiration Date

07/31/1993

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020