JEROME DAVID COHEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040742

License Status

INACTIVE

Business

First Name

JEROME DAVID

Last Name

COHEN

Suffix

Business Name

JEROME DAVID COHEN MD

Original Issue Date

10/24/1966

Effective Date

10/24/1966

Expiration Date

07/31/2005

City

SAINT LOUIS

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006