LISA B COHEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

COHEN

Business Name

LISA B COHEN

Original Issue Date

06/11/2008

Effective Date

11/19/2012

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60630

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015