REGINA A. LARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

REGINA

Middle

Last Name

LARA

Business Name

REGINA A. LARA MD

Original Issue Date

10/23/2020

Effective Date

10/23/2020

Expiration Date

07/31/2023

City

NEW YORK

State

Zip

10027

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/30/2023