MICHAEL JULIAN COLLINS MD - Medical Doctor License in Illinois | # 125067604

MICHAEL JULIAN COLLINS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067604

License Status

EXPIRED

Business

N

Title

MD

First Name

MICHAEL

Middle

JULIAN

Last Name

COLLINS

Business Name

MICHAEL JULIAN COLLINS MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

Thoracic Surgery

Ever Disciplined

N

LastModifiedDate

09/19/2017