MICHAEL STEPHEN GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161466

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

STEPHEN

Last Name

GREEN

Business Name

MICHAEL STEPHEN GREEN MD

Original Issue Date

07/15/2022

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CEDAR GLEN

State

Zip

92321

Ever Disciplined

LastModifiedDate

03/11/2024