MICHAEL GORDON COLLINS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019006340

License Status

NOT RENEWED

Business

First Name

MICHAEL GORDON

Last Name

COLLINS

Suffix

DDS

Business Name

MICHAEL GORDON COLLINS DDS

Original Issue Date

07/29/1931

Effective Date

07/29/1931

City

EAST ST. LOUIS

State

Zip

62201

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/12/2005