ELIZABETH K COLLINS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

ELIZABETH K

Last Name

COLLINS

Suffix

DMD

Business Name

ELIZABETH K COLLINS DMD

Original Issue Date

03/14/1995

Effective Date

03/14/1995

Expiration Date

09/30/1996

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005