JEFFREY CHARLES GREEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015078

License Status

NOT RENEWED

Business

First Name

JEFFREY CHARLES

Last Name

GREEN

Suffix

DDS

Business Name

JEFFREY CHARLES GREEN DDS

Original Issue Date

02/11/1975

Effective Date

02/11/1975

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005