KENNETH A COGEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050014

License Status

NOT RENEWED

Business

First Name

KENNETH A

Last Name

COGEN

Suffix

Business Name

KENNETH A COGEN MD

Original Issue Date

10/10/1974

Effective Date

10/10/1974

Expiration Date

07/01/1978

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

07/16/2007