JON D COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

JON D

Last Name

COHEN

Suffix

Business Name

JON D COHEN MD

Original Issue Date

05/03/1996

Effective Date

05/03/1996

Expiration Date

07/31/1999

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006