<DOCUMENT>
<TYPE>EX-23.1
<SEQUENCE>4
<FILENAME>d59203_ex23-1.txt
<DESCRIPTION>CONSENT OF INDEPENDENT PUBLIC ACCOUNTANTS
<TEXT>

Exhibit 23.1

CONSENT OF INDEPENDENT PUBLIC ACCOUNTANTS

Our report on our audit of the consolidated financial statements of Milestone
Scientific, Inc. and Subsidiaries as of December 31, 2003 and for the years
ended December 31, 2003 and 2002, included in this Annual Report on Form 10-KSB
for the year ended December 31, 2003 is dated March 26, 2004. We consent to the
incorporation by reference of our report in the following Registration
Statements previously filed by the Company with the Securities and Exchange
Commission pursuant to the Securities Act of 1933 on Form S-2 (SEC File No.
333-110376) and on Form S-3 (SEC File No.333-39784).


/s/ J.H. Cohn LLP

Roseland, New Jersey
April 8, 2004


                                       43

</TEXT>
</DOCUMENT>
