RICHARD L GREEN DDS - Dentist License in Wisconsin | # 019024042

RICHARD L GREEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024042

License Status

NOT RENEWED

Business

N

First Name

RICHARD L

Last Name

GREEN

Suffix

DDS

Business Name

RICHARD L GREEN DDS

Original Issue Date

11/20/1995

Effective Date

11/20/1995

Expiration Date

09/30/1996

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005