STACY A COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129064

License Status

NOT RENEWED

Business

Title

First Name

STACY

Middle

Last Name

COHEN

Business Name

STACY A COHEN MD

Original Issue Date

10/06/2011

Effective Date

10/06/2011

Expiration Date

07/31/2014

City

SANTA MONICA

State

Zip

90403

Ever Disciplined

LastModifiedDate

11/17/2014