ELBERT C COLLINS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012502

License Status

EXPIRED

Business

First Name

ELBERT C

Last Name

COLLINS

Suffix

Business Name

ELBERT C COLLINS MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/24/1983

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006