RICHARD A GREEN DDS - Dentist License in Illinois | # 019012921

RICHARD A GREEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012921

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005