PAUL FOREST GREEN DDS - Dentist License in Wisconsin | # 019012620

PAUL FOREST GREEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012620

License Status

NOT RENEWED

Business

N

First Name

PAUL FOREST

Last Name

GREEN

Suffix

DDS

Business Name

PAUL FOREST GREEN DDS

Original Issue Date

11/25/1964

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

WI

Ever Disciplined

N

LastModifiedDate

11/08/2006