TERRYL RAND COLLINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062500

License Status

NOT RENEWED

Business

First Name

TERRYL RAND

Last Name

COLLINS

Suffix

Business Name

TERRYL RAND COLLINS MD

Original Issue Date

07/10/1981

Effective Date

07/10/1981

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006