KELLY ELIZABETH REGAN-FENDT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

ELIZABETH

Last Name

REGAN-FENDT

Business Name

KELLY ELIZABETH REGAN-FENDT MD

Original Issue Date

06/08/2024

Effective Date

06/08/2024

Expiration Date

07/31/2026

City

DREXEL HILL

State

Zip

19026

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026