MARC FARRELL COLLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

MARC FARRELL

Last Name

COLLIN

Suffix

Business Name

MARC FARRELL COLLIN MD

Original Issue Date

07/15/1987

Effective Date

07/15/1987

Expiration Date

07/31/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006