JEFFREY CHARLES GREEN DDS - Dentist License in Illinois | # 137000248

JEFFREY CHARLES GREEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000248

License Status

NOT RENEWED

Business

N

First Name

JEFFREY CHARLES

Last Name

GREEN

Suffix

DDS

Business Name

JEFFREY CHARLES GREEN DDS

Original Issue Date

06/09/1990

Effective Date

06/09/1990

Expiration Date

09/30/2002

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

10/17/2005