MARK STEVEN COHEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

STEVEN

Last Name

COHEN

Business Name

MARK STEVEN COHEN MD

Original Issue Date

11/07/2022

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023