PAUL ALAN GREEN DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

CANCELLED

Business

First Name

PAUL ALAN

Last Name

GREEN

Suffix

DDS

Business Name

PAUL ALAN GREEN DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

SCOTTSDALE

State

Zip

85254

County

ARIZONA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005