MARK E COLLINS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

MARK E

Last Name

COLLINS

Suffix

Business Name

MARK E COLLINS MD

Original Issue Date

08/28/1981

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023