JASON GERALD COISMAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

JASON

Middle

GERALD

Last Name

COISMAN

Suffix

Business Name

JASON GERALD COISMAN DO

Original Issue Date

11/28/2005

Effective Date

11/28/2005

Expiration Date

07/31/2008

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008