THEODORE MATTHEW COHEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063712

License Status

CANCELLED

Business

Title

First Name

THEODORE

Middle

MATTHEW

Last Name

COHEN

Business Name

THEODORE MATTHEW COHEN MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014