JASON MICHAEL COHEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001184

License Status

NOT RENEWED

Business

First Name

JASON

Middle

MICHAEL

Last Name

COHEN

Suffix

DDS

Business Name

JASON MICHAEL COHEN DDS

Original Issue Date

07/14/1999

Effective Date

07/14/1999

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005