REGINA A. LARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154501

License Status

NOT RENEWED

Business

Title

First Name

REGINA

Middle

Last Name

LARA

Business Name

REGINA A. LARA MD

Original Issue Date

10/13/2020

Effective Date

10/13/2020

Expiration Date

07/31/2023

City

NEW YORK

State

Zip

10027

Ever Disciplined

LastModifiedDate

11/30/2023