MARK EDWARD COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

MARK EDWARD

Last Name

COHEN

Suffix

Business Name

MARK EDWARD COHEN MD

Original Issue Date

03/17/1997

Effective Date

03/17/1997

Expiration Date

07/31/1999

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006