REGAN LANE KENDREGAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

ACTIVE

Business

First Name

REGAN

Middle

LANE

Last Name

KENDREGAN

Business Name

REGAN LANE KENDREGAN

Original Issue Date

12/07/2001

Effective Date

01/21/2026

Expiration Date

03/01/2028

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026