ELYSSA FAYE COHEN MD - Medical Doctor License in Illinois | # 125076049

ELYSSA FAYE COHEN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076049

License Status

CANCELLED

Business

N

Title

MD

First Name

ELYSSA

Middle

FAYE

Last Name

COHEN

Business Name

ELYSSA FAYE COHEN MD

Original Issue Date

06/23/2020

Effective Date

06/23/2020

Expiration Date

06/22/2023

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

04/16/2020