JACKIE COHEN - Medical Doctor License in Illinois | # 036107345

JACKIE COHEN

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107345

License Status

NOT RENEWED

Business

N

First Name

JACKIE

Last Name

COHEN

Business Name

JACKIE COHEN

Original Issue Date

07/03/2002

Effective Date

07/09/2008

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2011