MICHAEL DAVID COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

MICHAEL DAVID

Last Name

COHEN

Suffix

Business Name

MICHAEL DAVID COHEN MD

Original Issue Date

07/17/1981

Effective Date

07/17/1981

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006