SIROUS COHANIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

SIROUS

Last Name

COHANIM

Suffix

Business Name

SIROUS COHANIM MD

Original Issue Date

01/01/1997

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014