SALLY W REGAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

SALLY W

Last Name

REGAN

Business Name

SALLY W REGAN

Original Issue Date

09/25/1995

Effective Date

09/25/1995

Expiration Date

07/31/1996

City

BARRINGTON

State

Zip

60010

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006