REGEN ANDREA GALLAGHER DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109398

License Status

INACTIVE

Business

First Name

REGEN

Middle

ANDREA

Last Name

GALLAGHER

Suffix

Business Name

REGEN ANDREA GALLAGHER DO

Original Issue Date

06/11/2003

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

CARIBOU

State

Zip

04736

County

MAINE

Ever Disciplined

LastModifiedDate

04/07/2011