CAROLINE LUCILLE GREEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

Title

DMD

First Name

CAROLINE

Middle

LUCILLE

Last Name

GREEN

Business Name

CAROLINE LUCILLE GREEN DMD

Original Issue Date

06/22/2023

Effective Date

06/19/2024

Expiration Date

09/30/2027

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2024