RICHARD ALLEN GREEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

RICHARD ALLEN

Last Name

GREEN

Business Name

RICHARD ALLEN GREEN

Original Issue Date

08/16/1983

Effective Date

08/27/2009

Expiration Date

09/30/2012

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012