JESSICA ANNE COHEN DMD - Dentist License in Illinois | # 018001731

JESSICA ANNE COHEN DMD

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001731

License Status

EXPIRED

Business

N

Title

DMD

First Name

JESSICA

Middle

ANNE

Last Name

COHEN

Business Name

JESSICA ANNE COHEN DMD

Original Issue Date

06/09/2009

Effective Date

08/15/2009

Expiration Date

05/30/2012

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

07/02/2012