KATHLEEN M COLLINS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024919

License Status

EXPIRED

Business

First Name

KATHLEEN M

Last Name

COLLINS

Business Name

KATHLEEN M COLLINS

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/21/1993

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006