The holder whose full name is COHEN, IRVING,come from PLAINFIELD IN,hold the Physician license(NO.01015772A) which status is Expired Non-Renewable.
| Name | COHEN, IRVING |
|---|---|
| License Number | 01015772A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | PLAINFIELD |
| State | IN |