GARY BERNARD COLLINS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

GARY

Middle

BERNARD

Last Name

COLLINS

Business Name

GARY BERNARD COLLINS MD

Original Issue Date

12/20/2021

Effective Date

08/08/2023

Expiration Date

07/31/2026

City

RESTON

State

Zip

20190

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/08/2023