DAVID MICHAEL COLLINS MD - Medical Doctor License in Illinois | # 125047411

DAVID MICHAEL COLLINS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047411

License Status

EXPIRED

Business

N

First Name

DAVID

Middle

MICHAEL

Last Name

COLLINS

Suffix

MD

Business Name

DAVID MICHAEL COLLINS MD

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/27/2007

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

07/03/2007