RHONDA NICOLE GREEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

First Name

RHONDA NICOLE

Last Name

GREEN

Suffix

DMD

Business Name

RHONDA NICOLE GREEN DMD

Original Issue Date

08/25/1997

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2024