CHARLES DALE COLLINS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036027968

License Status

INACTIVE

Business

First Name

CHARLES DALE

Last Name

COLLINS

Suffix

Business Name

CHARLES DALE COLLINS MD

Original Issue Date

05/19/1947

Effective Date

05/19/1947

Expiration Date

07/31/1990

City

SCOTTSDALE

State

Zip

85258

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006