THEODORE W COLLINS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076440

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

COLLINS

Suffix

Business Name

THEODORE W COLLINS DO

Original Issue Date

12/09/1987

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

MOBERLY

State

Zip

65270

County

KANSAS

Ever Disciplined

LastModifiedDate

11/30/2023