ROOSEVELT DELANO COLLINS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011235

License Status

NOT RENEWED

Business

First Name

ROOSEVELT DELANO

Last Name

COLLINS

Suffix

DDS

Business Name

ROOSEVELT DELANO COLLINS DDS

Original Issue Date

01/24/1958

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012