RUSSELL G COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093214

License Status

NOT RENEWED

Business

First Name

RUSSELL G

Last Name

COHEN

Suffix

Business Name

RUSSELL G COHEN MD

Original Issue Date

06/15/1996

Effective Date

06/15/1996

Expiration Date

07/31/1999

City

TUCSON

State

Zip

85712

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006