COLLIN ROBERT PARKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067631

License Status

EXPIRED

Business

Title

First Name

COLLIN

Middle

ROBERT

Last Name

PARKER

Business Name

COLLIN ROBERT PARKER MD

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2019

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

10/02/2019