ELYSE HOLLY COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145690

License Status

NOT RENEWED

Business

First Name

ELYSE

Middle

HOLLY

Last Name

COHEN

Suffix

Business Name

ELYSE HOLLY COHEN MD

Original Issue Date

04/10/2018

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021