THEODORE MATTHEW 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

Title

First Name

THEODORE

Middle

MATTHEW

Last Name

COHEN

Business Name

THEODORE MATTHEW COHEN MD

Original Issue Date

08/10/2015

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

PONTIAC

State

Zip

61764

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023