JEAN MARIE DOHERTY-GREENBERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

JEAN

Middle

MARIE

Last Name

DOHERTY-GREENBERG

Business Name

JEAN MARIE DOHERTY-GREENBERG

Original Issue Date

07/15/1985

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

ROCHESTER

State

Zip

55902

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022