JUSTIN D COHEN - Medical Doctor License in Illinois | # 125014318

JUSTIN D COHEN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014318

License Status

EXPIRED

Business

N

First Name

JUSTIN

Middle

D

Last Name

COHEN

Business Name

JUSTIN D COHEN

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/25/1984

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006