JONATHAN M GREEN MD - Medical Doctor License in Missouri | # 036086603

JONATHAN M GREEN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086603

License Status

INACTIVE

Business

N

First Name

JONATHAN M

Last Name

GREEN

Suffix

MD

Business Name

JONATHAN M GREEN MD

Original Issue Date

06/30/1993

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

MO

Ever Disciplined

N

LastModifiedDate

08/04/2008