RONALD I COHEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111075

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

Last Name

COHEN

Business Name

RONALD I COHEN

Original Issue Date

03/23/2004

Effective Date

03/23/2004

Expiration Date

07/31/2005

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006