CHRISTOPHER JOHN GREEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

JOHN

Last Name

GREEN

Business Name

CHRISTOPHER JOHN GREEN

Original Issue Date

07/25/1985

Effective Date

01/04/2007

Expiration Date

09/30/2009

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009