JOHN MICHAEL GREEN - Dentist License in Illinois | # 019010542

JOHN MICHAEL GREEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010542

License Status

NOT RENEWED

Business

N

First Name

JOHN MICHAEL

Last Name

GREEN

Business Name

JOHN MICHAEL GREEN

Original Issue Date

08/10/1954

Effective Date

07/05/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016