MICHAEL JULIAN COLLINS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067604

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

JULIAN

Last Name

COLLINS

Business Name

MICHAEL JULIAN COLLINS MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Thoracic Surgery

Ever Disciplined

LastModifiedDate

09/19/2017