JOHN CLAIR COLLINGWOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

CLAIR

Last Name

COLLINGWOOD

Business Name

JOHN CLAIR COLLINGWOOD MD

Original Issue Date

07/15/2008

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

BERNALILLO

State

Zip

87004

County

NEW MEXICO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017