MICHAEL JOHN COLLINS MD - Medical Doctor License in Illinois | # 125068970

MICHAEL JOHN COLLINS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068970

License Status

EXPIRED

Business

N

Title

MD

First Name

MICHAEL

Middle

JOHN

Last Name

COLLINS

Business Name

MICHAEL JOHN COLLINS MD

Original Issue Date

06/22/2016

Effective Date

06/22/2016

Expiration Date

06/21/2017

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/19/2017