PHILLIP ALEXANDE COLLINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039221

License Status

NOT RENEWED

Business

First Name

PHILLIP ALEXANDE

Last Name

COLLINS

Suffix

Business Name

PHILLIP ALEXANDE COLLINS MD

Original Issue Date

08/17/1964

Effective Date

08/17/1964

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006