MICHAEL A REGAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

REGAN

Business Name

MICHAEL A REGAN

Original Issue Date

10/05/2015

Effective Date

01/01/2026

Expiration Date

03/01/2028

City

NEW LENOX

State

Zip

60451

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/01/2026