MAYNARD M COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038772

License Status

NOT RENEWED

Business

First Name

MAYNARD M

Last Name

COHEN

Suffix

Business Name

MAYNARD M COHEN MD

Original Issue Date

11/26/1963

Effective Date

11/26/1963

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006