REGINA ANGELEYNE TAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010064

License Status

ACTIVE

Business

First Name

REGINA

Middle

ANGELEYNE

Last Name

TAN

Business Name

REGINA ANGELEYNE TAN

Original Issue Date

09/18/2023

Effective Date

02/01/2026

Expiration Date

03/01/2028

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/01/2026