DONNA COHEN MORITZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140731

License Status

NOT RENEWED

Business

Title

First Name

DONNA

Middle

COHEN

Last Name

MORITZ

Business Name

DONNA COHEN MORITZ MD

Original Issue Date

05/20/2016

Effective Date

05/20/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017