FRANCIS PATRICK GREEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012619

License Status

INACTIVE

Business

First Name

FRANCIS PATRICK

Last Name

GREEN

Suffix

DDS

Business Name

FRANCIS PATRICK GREEN DDS

Original Issue Date

11/25/1964

Effective Date

09/04/2015

Expiration Date

09/30/2018

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/07/2018