ELYSE HOLLY COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

ELYSE

Middle

HOLLY

Last Name

COHEN

Suffix

Business Name

ELYSE HOLLY COHEN MD

Original Issue Date

04/10/2018

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021