MOLLY COLLINS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

INOPERATIVE

Business

First Name

MOLLY

Last Name

COLLINS

Business Name

MOLLY COLLINS

Original Issue Date

08/19/2014

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018