WILLIAM N GREEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000710

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

GREEN

Business Name

WILLIAM N GREEN

Original Issue Date

07/01/1993

Effective Date

07/01/1993

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005