JOHN MICHAEL GREEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010542

License Status

NOT RENEWED

Business

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

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016