ROBERT DOUGLAS COLLINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

DOUGLAS

Last Name

COLLINS

Suffix

Business Name

ROBERT DOUGLAS COLLINS MD

Original Issue Date

01/01/1997

Effective Date

07/31/2009

Expiration Date

07/31/2011

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011