MICHAEL J COLLINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

COLLINS

Suffix

Business Name

MICHAEL J COLLINS MD

Original Issue Date

01/23/2014

Effective Date

05/03/2017

Expiration Date

09/30/2020

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021