DIANE IRENE COHEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055096

License Status

INACTIVE

Business

First Name

DIANE IRENE

Last Name

COHEN

Suffix

Business Name

DIANE IRENE COHEN MD

Original Issue Date

07/18/1977

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2017