JOHN MICHAEL COLLINS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051465

License Status

CANCELLED

Business

First Name

JOHN

Middle

MICHAEL

Last Name

COLLINS

Suffix

Business Name

JOHN MICHAEL COLLINS MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006