LANCE COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101691

License Status

NOT RENEWED

Business

First Name

LANCE

Last Name

COHEN

Suffix

Business Name

LANCE COHEN MD

Original Issue Date

12/09/1999

Effective Date

12/09/1999

Expiration Date

07/31/2002

City

ST LOUIS

State

Zip

63132

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006