JUSTIN THOMAS COLLIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118576

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

THOMAS

Last Name

COLLIER

Suffix

Business Name

JUSTIN THOMAS COLLIER MD

Original Issue Date

06/01/2007

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011