EDMUND MARTIN COLLINS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009343

License Status

NOT RENEWED

Business

First Name

EDMUND MARTIN

Last Name

COLLINS

Business Name

EDMUND MARTIN COLLINS

Original Issue Date

08/26/1947

Effective Date

08/26/1947

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005