CHARLES D COHEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

CHARLES D

Last Name

COHEN

Suffix

DMD

Business Name

CHARLES D COHEN DMD

Original Issue Date

09/21/1987

Effective Date

09/21/1987

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005