TY GREEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034200

License Status

NOT RENEWED

Business

Title

DDS

First Name

Last Name

GREEN

Business Name

TY GREEN DDS

Original Issue Date

05/20/2023

Effective Date

05/20/2023

Expiration Date

09/30/2024

City

LOWELL

State

Zip

46356

Ever Disciplined

LastModifiedDate

02/04/2025