WENDY J COLLINS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

WENDY J

Last Name

COLLINS

Business Name

WENDY J COLLINS

Original Issue Date

04/19/1996

Effective Date

04/19/1996

Expiration Date

07/31/1996

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006