RICHARD L GREEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024042

License Status

NOT RENEWED

Business

First Name

RICHARD L

Last Name

GREEN

Suffix

DDS

Business Name

RICHARD L GREEN DDS

Original Issue Date

11/20/1995

Effective Date

11/20/1995

Expiration Date

09/30/1996

City

MILWAUKEE

State

Zip

53216

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005