GARY LEE COHEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079767

License Status

INACTIVE

Business

First Name

GARY

Middle

LEE

Last Name

COHEN

Suffix

Business Name

GARY LEE COHEN MD

Original Issue Date

03/09/1990

Effective Date

03/09/1990

Expiration Date

07/31/2005

City

FITCHBURG

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/22/2017