FRANCIS PATRICK GREEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

FRANCIS PATRICK

Last Name

GREEN

Suffix

DDS

Business Name

FRANCIS PATRICK GREEN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005