RONALD BENJAMIN COLLINS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119753

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

BENJAMIN

Last Name

COLLINS JR

Suffix

Business Name

RONALD BENJAMIN COLLINS JR MD

Original Issue Date

11/29/2007

Effective Date

07/16/2008

Expiration Date

07/31/2011

City

GRINNELL

State

Zip

50112

Ever Disciplined

LastModifiedDate

11/14/2011