LAWRENCE C KOCEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

ACTIVE

Business

First Name

LAWRENCE

Middle

Last Name

KOCEN

Business Name

LAWRENCE C KOCEN

Original Issue Date

07/07/2017

Effective Date

01/10/2026

Expiration Date

03/01/2028

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/10/2026