PAUL FOREST GREEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012620

License Status

NOT RENEWED

Business

First Name

PAUL FOREST

Last Name

GREEN

Suffix

DDS

Business Name

PAUL FOREST GREEN DDS

Original Issue Date

11/25/1964

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

FRANKLIN

State

Zip

53132

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2006