EDWARD C COLLINS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001771

License Status

CANCELLED

Business

First Name

EDWARD

Middle

Last Name

COLLINS

Business Name

EDWARD C COLLINS

Original Issue Date

06/21/2010

Effective Date

07/01/2010

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

03/13/2015