DAVID A COCANOWER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

COCANOWER

Suffix

Business Name

DAVID A COCANOWER MD

Original Issue Date

03/21/1996

Effective Date

03/21/1996

Expiration Date

07/31/1996

City

CARMI

State

Zip

62821

County

WHITE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006