H DANIEL GREEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011793

License Status

INACTIVE

Business

First Name

H DANIEL

Last Name

GREEN

Suffix

DDS

Business Name

H DANIEL GREEN DDS

Original Issue Date

08/17/1960

Effective Date

08/17/1960

Expiration Date

09/30/1996

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005