EDMUND MARTIN COLLINS - Dentist License in Illinois | # 021000204

EDMUND MARTIN COLLINS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000204

License Status

NOT RENEWED

Business

N

First Name

EDMUND MARTIN

Last Name

COLLINS

Business Name

EDMUND MARTIN COLLINS

Original Issue Date

12/01/1952

Effective Date

12/01/1952

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/13/2005