JACQUELINE MIRENDA COLLINS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060322

License Status

EXPIRED

Business

Title

First Name

JACQUELINE

Middle

MIRENDA

Last Name

COLLINS

Business Name

JACQUELINE MIRENDA COLLINS MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

03/13/2015