REGINA BROWN CAROLINA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

REGINA

Middle

BROWN

Last Name

CAROLINA

Suffix

Business Name

REGINA BROWN CAROLINA MD

Original Issue Date

07/20/2000

Effective Date

07/20/2000

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006