JEFFREY K COLLINS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000653

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

COLLINS

Suffix

DDS

Business Name

JEFFREY K COLLINS DDS

Original Issue Date

06/29/2005

Effective Date

06/29/2005

Expiration Date

09/30/2006

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

11/08/2006