ETHAN MAYER COHEN MD - Medical Doctor License in Illinois | # 130001605

ETHAN MAYER COHEN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001605

License Status

EXPIRED

Business

N

Title

MD

First Name

ETHAN

Middle

MAYER

Last Name

COHEN

Business Name

ETHAN MAYER COHEN MD

Original Issue Date

02/02/2024

Effective Date

02/02/2024

Expiration Date

03/01/2024

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

01/08/2025