JOHN M GREEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

Title

DMD

First Name

JOHN

Middle

Last Name

GREEN

Business Name

JOHN M GREEN DMD

Original Issue Date

06/09/2021

Effective Date

06/02/2024

Expiration Date

09/30/2027

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2024