BLAKE ELLIOT COHEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142632

License Status

ACTIVE

Business

Title

First Name

BLAKE

Middle

ELLIOT

Last Name

COHEN

Business Name

BLAKE ELLIOT COHEN MD

Original Issue Date

03/09/2017

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Ever Disciplined

LastModifiedDate

06/21/2023