EZRA EDDY WYSSAM COHEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099472

License Status

ACTIVE

Business

First Name

EZRA EDDY

Middle

WYSSAM

Last Name

COHEN

Suffix

Business Name

EZRA EDDY WYSSAM COHEN MD

Original Issue Date

01/06/1999

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

LA JOLLA

State

Zip

92093

Ever Disciplined

LastModifiedDate

04/11/2023