JAKE WESLEY COLLINS DDS - Dentist License in Illinois | # 136000118

JAKE WESLEY COLLINS DDS

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000118

License Status

EXPIRED

Business

N

First Name

JAKE

Middle

WESLEY

Last Name

COLLINS

Suffix

DDS

Business Name

JAKE WESLEY COLLINS DDS

Original Issue Date

07/31/2006

Effective Date

07/31/2006

Expiration Date

06/30/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/31/2008