DAVID R COLLINS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057092

License Status

NOT RENEWED

Business

First Name

DAVID R

Last Name

COLLINS

Suffix

Business Name

DAVID R COLLINS DO

Original Issue Date

07/24/1978

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

01/14/2021