KEVIN P COLLINS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

COLLINS

Business Name

KEVIN P COLLINS

Original Issue Date

10/02/2007

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

BARRINGTON

State

Zip

60010

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020