MYRA L COLLINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060949

License Status

NOT RENEWED

Business

First Name

MYRA L

Last Name

COLLINS

Suffix

Business Name

MYRA L COLLINS MD

Original Issue Date

09/11/1980

Effective Date

09/11/1980

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006