ANDREW RICHARD GREENE DO - Medical Doctor License in Wisconsin | # 036114435

ANDREW RICHARD GREENE DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114435

License Status

NOT RENEWED

Business

N

First Name

ANDREW

Middle

RICHARD

Last Name

GREENE

Suffix

DO

Business Name

ANDREW RICHARD GREENE DO

Original Issue Date

08/17/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

WI

Ever Disciplined

N

LastModifiedDate

11/06/2008