KATHRYN MARIE GREENE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

Title

DMD

First Name

KATHRYN

Middle

MARIE

Last Name

GREENE

Business Name

KATHRYN MARIE GREENE DMD

Original Issue Date

02/05/2021

Effective Date

09/28/2021

Expiration Date

09/30/2024

City

EAST ALTON

State

Zip

62024

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025