EMMA M COLLINS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001802

License Status

NOT RENEWED

Business

First Name

EMMA

Middle

Last Name

COLLINS

Business Name

EMMA M COLLINS

Original Issue Date

07/02/2002

Effective Date

07/02/2002

Expiration Date

03/01/2004

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006