MICHELLE MARIE COLLINS-AUSTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172644

License Status

ACTIVE

Business

Title

First Name

MICHELLE

Middle

MARIE

Last Name

COLLINS-AUSTIN

Business Name

MICHELLE MARIE COLLINS-AUSTIN MD

Original Issue Date

11/06/2024

Effective Date

11/06/2024

Expiration Date

07/31/2026

City

FORT WAYNE

State

Zip

46814

Ever Disciplined

LastModifiedDate

11/07/2024