RUSSELL D COHEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

RUSSELL D

Last Name

COHEN

Suffix

Business Name

RUSSELL D COHEN MD

Original Issue Date

09/10/1993

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023