RICHARD A GREEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012921

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

GREEN

Suffix

DDS

Business Name

RICHARD A GREEN DDS

Original Issue Date

07/29/1966

Effective Date

07/29/1966

Expiration Date

09/30/1992

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005