EDMUND MARTIN COLLINS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000204

License Status

NOT RENEWED

Business

First Name

EDMUND MARTIN

Last Name

COLLINS

Business Name

EDMUND MARTIN COLLINS

Original Issue Date

12/01/1952

Effective Date

12/01/1952

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/13/2005