JOHN J COLLINS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

JOHN J

Last Name

COLLINS JR

Suffix

Business Name

JOHN J COLLINS JR MD

Original Issue Date

06/25/1996

Effective Date

06/25/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006