RAY-ANN ODEGAARD DEREGNIER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

RAY-ANN

Middle

ODEGAARD

Last Name

DEREGNIER

Suffix

Business Name

RAY-ANN ODEGAARD DEREGNIER MD

Original Issue Date

05/22/2001

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023