DAVID A COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

COHEN

Suffix

Business Name

DAVID A COHEN MD

Original Issue Date

05/13/1986

Effective Date

05/13/1986

Expiration Date

07/31/1990

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006