JACK ALBERT COHEN - Medical Doctor License in Illinois | # 125025198

JACK ALBERT COHEN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025198

License Status

EXPIRED

Business

N

First Name

JACK ALBERT

Last Name

COHEN

Business Name

JACK ALBERT COHEN

Original Issue Date

05/29/1990

Effective Date

05/29/1990

Expiration Date

06/24/1994

State

IL

Specialty/Qualifier

Ophthalmology

Ever Disciplined

N

LastModifiedDate

09/22/2006