MARK E COLLINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

MARK E

Last Name

COLLINS

Suffix

Business Name

MARK E COLLINS MD

Original Issue Date

09/18/1990

Effective Date

09/18/1990

Expiration Date

07/31/1993

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020