THEODORE MATTHEW COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138885

License Status

NOT RENEWED

Business

Title

First Name

THEODORE

Middle

MATTHEW

Last Name

COHEN

Business Name

THEODORE MATTHEW COHEN MD

Original Issue Date

08/10/2015

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/30/2023