MEGAN ELIZABETH COLLINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126689

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

ELIZABETH

Last Name

COLLINS

Suffix

Business Name

MEGAN ELIZABETH COLLINS MD

Original Issue Date

09/23/2010

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

MADISON

State

Zip

53703

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014