RONALD BENJAMIN COLLINS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

BENJAMIN

Last Name

COLLINS JR

Suffix

Business Name

RONALD BENJAMIN COLLINS JR MD

Original Issue Date

01/08/2008

Effective Date

07/16/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011