DAVID M COHEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000326

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

COHEN

Business Name

DAVID M COHEN

Original Issue Date

04/27/1989

Effective Date

04/27/1989

Expiration Date

06/30/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005