TIMOTHY R COLLINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055100

License Status

NOT RENEWED

Business

First Name

TIMOTHY R

Last Name

COLLINS

Suffix

Business Name

TIMOTHY R COLLINS MD

Original Issue Date

07/18/1977

Effective Date

07/18/1977

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006