KEVIN P COLLINS Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033453

License Status

CANCELLED

Business

First Name

KEVIN

Middle

Last Name

COLLINS

Business Name

KEVIN P COLLINS

Original Issue Date

06/19/1995

Effective Date

06/19/1995

Expiration Date

06/30/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006