MICHAEL D COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

COHEN

Suffix

Business Name

MICHAEL D COHEN MD

Original Issue Date

12/06/1994

Effective Date

12/06/1994

Expiration Date

07/31/1996

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006