SCOTT D COHEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034870

License Status

EXPIRED

Business

First Name

SCOTT

Middle

Last Name

COHEN

Business Name

SCOTT D COHEN

Original Issue Date

06/05/1996

Effective Date

06/05/1996

Expiration Date

06/30/2001

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/19/2008