STEPHEN DOUGLAS COLLINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

DOUGLAS

Last Name

COLLINS

Suffix

Business Name

STEPHEN DOUGLAS COLLINS MD

Original Issue Date

04/07/1998

Effective Date

04/07/1998

Expiration Date

07/31/2002

City

ABBOTT PARK

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006