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Licensing details for: G 28277

Name: COHEN, MICHAEL LEWIS

License Type: Physician and Surgeon G

Primary Status: License Renewed & Current Primary Status Definition

Fee Exemption: Voluntary ServicePrimary Status Definition

School Name: University of Cincinnati College of Medicine

Graduation Year: 1963

Address of Record

215 Lennon Ln Ste 200
WALNUT CREEK CA 94598-2543
CONTRA COSTA county
Map

Issuance Date

October 11, 1974

Expiration Date

July 31, 2027

Current Date / Time

September 12, 2026
6:52:34 PM

Public Record Actions

Public Documents

Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

No AB 133 Survey Information Provided by Licensee

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