DANIEL BERNARD COLLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057760

License Status

NOT RENEWED

Business

First Name

DANIEL BERNARD

Last Name

COLLIN

Suffix

Business Name

DANIEL BERNARD COLLIN MD

Original Issue Date

08/21/1978

Effective Date

08/21/1978

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006