JASON EVAN COHEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066954

License Status

CANCELLED

Business

Title

First Name

JASON

Middle

EVAN

Last Name

COHEN

Business Name

JASON EVAN COHEN MD

Original Issue Date

06/23/2020

Effective Date

06/23/2020

Expiration Date

06/22/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

02/27/2020