BRIAN D COHEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045858

License Status

EXPIRED

Business

First Name

BRIAN

Middle

Last Name

COHEN

Suffix

Business Name

BRIAN D COHEN MD

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

06/22/2004

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006