JONATHAN DAVID COGEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059356

License Status

EXPIRED

Business

First Name

JONATHAN

Middle

DAVID

Last Name

COGEN

Suffix

Business Name

JONATHAN DAVID COGEN MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/13/2015