RONALD BENJAMIN COLLINS JR MD - Medical Doctor License in Illinois | # 125050346

RONALD BENJAMIN COLLINS JR MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050346

License Status

CANCELLED

Business

N

First Name

RONALD

Middle

BENJAMIN

Last Name

COLLINS JR

Suffix

MD

Business Name

RONALD BENJAMIN COLLINS JR MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006