FAWN COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059367

License Status

NOT RENEWED

Business

First Name

FAWN

Last Name

COHEN

Suffix

Business Name

FAWN COHEN MD

Original Issue Date

09/18/1979

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017