ANDREW JASON COHEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061398

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

JASON

Last Name

COHEN

Business Name

ANDREW JASON COHEN MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/24/2014