MICHAEL COLLINS MD - Medical Doctor License in Illinois | # 125021490

MICHAEL COLLINS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021490

License Status

EXPIRED

Business

N

First Name

MICHAEL

Last Name

COLLINS

Suffix

MD

Business Name

MICHAEL COLLINS MD

Original Issue Date

06/29/1987

Effective Date

06/29/1987

Expiration Date

06/22/1990

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006