WAYNE T COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078567

License Status

NOT RENEWED

Business

First Name

WAYNE T

Last Name

COHEN

Suffix

Business Name

WAYNE T COHEN MD

Original Issue Date

03/14/1989

Effective Date

03/14/1989

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006