ADAM STUART GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124336

License Status

NOT RENEWED

Business

Title

First Name

ADAM

Middle

STUART

Last Name

GREEN

Business Name

ADAM STUART GREEN MD

Original Issue Date

09/08/2009

Effective Date

09/08/2009

Expiration Date

07/31/2011

City

ATLANTA

State

Zip

30326

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/14/2011