DONNA COHEN MORITZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065687

License Status

CANCELLED

Business

Title

First Name

DONNA

Middle

COHEN

Last Name

MORITZ

Business Name

DONNA COHEN MORITZ MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Infectious Disease

Ever Disciplined

LastModifiedDate

05/28/2014