REUBEN D COLLINS DDS - Dentist License in Illinois | # 018000790

REUBEN D COLLINS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000790

License Status

NOT RENEWED

Business

N

First Name

REUBEN D

Last Name

COLLINS

Suffix

DDS

Business Name

REUBEN D COLLINS DDS

Original Issue Date

07/13/1994

Effective Date

07/13/1994

Expiration Date

06/30/1995

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005