DAVID MICHAEL COLLINS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047411

License Status

EXPIRED

Business

First Name

DAVID

Middle

MICHAEL

Last Name

COLLINS

Suffix

Business Name

DAVID MICHAEL COLLINS MD

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/27/2007

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/03/2007