ELBERT C COLLINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066761

License Status

NOT RENEWED

Business

First Name

ELBERT C

Last Name

COLLINS

Suffix

Business Name

ELBERT C COLLINS MD

Original Issue Date

06/29/1983

Effective Date

06/29/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006