REGINA ANGELEYNE TAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

ACTIVE

Business

First Name

REGINA

Middle

ANGELEYNE

Last Name

TAN

Business Name

REGINA ANGELEYNE TAN

Original Issue Date

12/15/2023

Effective Date

02/01/2026

Expiration Date

03/01/2028

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/01/2026