MICHELE COLLINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

Title

First Name

MICHELE

Last Name

COLLINS

Business Name

MICHELE COLLINS MD

Original Issue Date

01/25/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021