JUSTIN THOMAS COLLIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

THOMAS

Last Name

COLLIER

Suffix

Business Name

JUSTIN THOMAS COLLIER MD

Original Issue Date

08/14/2007

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011