JEREMY DOUGLAS COLLINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122774

License Status

NOT RENEWED

Business

Title

First Name

JEREMY

Middle

DOUGLAS

Last Name

COLLINS

Business Name

JEREMY DOUGLAS COLLINS MD

Original Issue Date

03/04/2009

Effective Date

05/16/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021