MICHAEL RICHARD COLLINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096356

License Status

NOT RENEWED

Business

First Name

MICHAEL RICHARD

Last Name

COLLINS

Suffix

Business Name

MICHAEL RICHARD COLLINS MD

Original Issue Date

08/07/1997

Effective Date

08/07/1997

Expiration Date

07/31/2005

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

04/10/2008