STANLEY MARTIN COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

MARTIN

Last Name

COHEN

Suffix

Business Name

STANLEY MARTIN COHEN MD

Original Issue Date

05/06/1998

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017