ELYSSA FAYE COHEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076049

License Status

CANCELLED

Business

Title

First Name

ELYSSA

Middle

FAYE

Last Name

COHEN

Business Name

ELYSSA FAYE COHEN MD

Original Issue Date

06/23/2020

Effective Date

06/23/2020

Expiration Date

06/22/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/16/2020