MICHAEL JOSEPH COLLINS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

Title

DDS

First Name

MICHAEL

Middle

JOSEPH

Last Name

COLLINS

Business Name

MICHAEL JOSEPH COLLINS DDS

Original Issue Date

08/22/2013

Effective Date

06/25/2015

Expiration Date

09/30/2018

City

LA SALLE

State

Zip

61301

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018