MARY REGINA ROYAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

Title

First Name

MARY

Middle

REGINA

Last Name

ROYAN

Business Name

MARY REGINA ROYAN MD

Original Issue Date

05/19/2021

Effective Date

05/19/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023