OPAL W GREEN - Podiatrist License in Indiana | # 016002008

OPAL W GREEN

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002008

License Status

NOT RENEWED

Business

N

First Name

OPAL W

Last Name

GREEN

Business Name

OPAL W GREEN

Original Issue Date

07/20/1950

Effective Date

07/20/1950

State

IN

Ever Disciplined

N

LastModifiedDate

09/25/2006