CHARLES SIDNEY GREENE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012322

License Status

NOT RENEWED

Business

First Name

CHARLES SIDNEY

Last Name

GREENE

Suffix

DDS

Business Name

CHARLES SIDNEY GREENE DDS

Original Issue Date

08/02/1963

Effective Date

09/02/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018