MICHAEL JOHN COLLINS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068970

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

JOHN

Last Name

COLLINS

Business Name

MICHAEL JOHN COLLINS MD

Original Issue Date

06/22/2016

Effective Date

06/22/2016

Expiration Date

06/21/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/19/2017