BRIAN H COHEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000543

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

COHEN

Business Name

BRIAN H COHEN

Original Issue Date

06/17/1991

Effective Date

06/17/1991

Expiration Date

07/01/1994

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005