JACQUELINE MIRENDA COLLINS MD - Medical Doctor License in Illinois | # 125060322

JACQUELINE MIRENDA COLLINS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060322

License Status

EXPIRED

Business

N

Title

MD

First Name

JACQUELINE

Middle

MIRENDA

Last Name

COLLINS

Business Name

JACQUELINE MIRENDA COLLINS MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

03/13/2015