MICHAEL COLLINS SCANNELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099462

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

COLLINS

Last Name

SCANNELL

Suffix

Business Name

MICHAEL COLLINS SCANNELL MD

Original Issue Date

01/04/1999

Effective Date

01/04/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006