RANDY EARL COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133411

License Status

NOT RENEWED

Business

Title

First Name

RANDY

Middle

EARL

Last Name

COHEN

Business Name

RANDY EARL COHEN MD

Original Issue Date

06/27/2013

Effective Date

07/20/2020

Expiration Date

07/31/2023

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/30/2023