JOHN MICHAEL GREEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

ACTIVE

Business

First Name

JOHN MICHAEL

Last Name

GREEN

Business Name

JOHN MICHAEL GREEN

Original Issue Date

08/14/1986

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024