JACKIE COHEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107345

License Status

NOT RENEWED

Business

First Name

JACKIE

Last Name

COHEN

Business Name

JACKIE COHEN

Original Issue Date

07/03/2002

Effective Date

07/09/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011