MICHAEL T GREEN DDS PC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

MICHAEL T

Last Name

GREEN DDS PC

Business Name

MICHAEL T GREEN DDS PC

Original Issue Date

01/01/1998

Effective Date

07/29/2015

Expiration Date

09/30/2018

City

SCHAUMBURG

State

Zip

60195

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018