MICHAEL T GREEN DDS PC - Dentist License in Illinois | # 019013826

MICHAEL T GREEN DDS PC

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013826

License Status

NOT RENEWED

Business

N

First Name

MICHAEL T

Last Name

GREEN DDS PC

Business Name

MICHAEL T GREEN DDS PC

Original Issue Date

07/07/1970

Effective Date

07/29/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018