GREGORY N GREEN - Podiatrist License in Missouri | # 31*****47

GREGORY N GREEN

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

N

First Name

GREGORY N

Last Name

GREEN

Business Name

GREGORY N GREEN

Original Issue Date

09/23/1983

Effective Date

09/23/1983

Expiration Date

01/31/1989

State

MO

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

09/25/2006