REUBEN D COLLINS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000790

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005