JEFFREY CHARLES GREEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000248

License Status

NOT RENEWED

Business

First Name

JEFFREY CHARLES

Last Name

GREEN

Suffix

DDS

Business Name

JEFFREY CHARLES GREEN DDS

Original Issue Date

06/09/1990

Effective Date

06/09/1990

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/17/2005