ETHAN MAYER COHEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001605

License Status

EXPIRED

Business

Title

First Name

ETHAN

Middle

MAYER

Last Name

COHEN

Business Name

ETHAN MAYER COHEN MD

Original Issue Date

02/02/2024

Effective Date

02/02/2024

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/08/2025