JEFFREY BRYAN GREENE Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

CANCELLED

Business

First Name

JEFFREY BRYAN

Last Name

GREENE

Business Name

JEFFREY BRYAN GREENE

Original Issue Date

02/25/1983

Effective Date

02/25/1983

Expiration Date

09/30/2006

City

SCOTTSDALE

State

Zip

85259

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006