PETER G GREEN - Dentist License in Arizona | # 31*****66

PETER G GREEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

N

First Name

PETER G

Last Name

GREEN

Business Name

PETER G GREEN

Original Issue Date

11/02/1988

Effective Date

11/02/1988

Expiration Date

09/30/1990

State

AZ

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/17/2005