MICHAEL M COLLINS MD - Medical Doctor License in Illinois | # 130000789

MICHAEL M COLLINS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000789

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

M

Last Name

COLLINS

Suffix

MD

Business Name

MICHAEL M COLLINS MD

Original Issue Date

04/06/2009

Effective Date

04/06/2009

Expiration Date

05/05/2009

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

05/28/2009