MARGARET M CULLEN-REGAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****75

License Status

NOT RENEWED

Business

First Name

MARGARET

Middle

Last Name

CULLEN-REGAN

Suffix

Business Name

MARGARET M CULLEN-REGAN OD

Original Issue Date

10/17/1996

Effective Date

03/18/2004

Expiration Date

03/31/2006

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006