STEPHANIE MARIE COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132716

License Status

NOT RENEWED

Business

Title

First Name

STEPHANIE

Middle

MARIE

Last Name

COHEN

Business Name

STEPHANIE MARIE COHEN MD

Original Issue Date

05/02/2013

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017