THOMAS COLLINS - Medical Doctor License in Illinois | # 125079020

THOMAS COLLINS

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079020

License Status

EXPIRED

Business

N

First Name

THOMAS

Last Name

COLLINS

Business Name

THOMAS COLLINS

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/30/2024