ROGER DAVID COHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100386

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

DAVID

Last Name

COHEN

Suffix

Business Name

ROGER DAVID COHEN MD

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

07/31/2005

City

MILWAUKEE

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006