DANIEL R COLLINS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044747

License Status

INACTIVE

Business

First Name

DANIEL R

Last Name

COLLINS

Suffix

Business Name

DANIEL R COLLINS MD

Original Issue Date

09/16/1971

Effective Date

09/16/1971

Expiration Date

07/31/1987

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006