GREGORY J COLLINS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000474

License Status

NOT RENEWED

Business

First Name

GREGORY J

Last Name

COLLINS

Business Name

GREGORY J COLLINS

Original Issue Date

11/01/1991

Effective Date

11/01/1991

Expiration Date

03/01/1992

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006