THOMAS EDWARD GREEN DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110102

License Status

INACTIVE

Business

First Name

THOMAS

Middle

EDWARD

Last Name

GREEN

Suffix

Business Name

THOMAS EDWARD GREEN DO

Original Issue Date

09/15/2003

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

CLIVE

State

Zip

50325

Ever Disciplined

LastModifiedDate

12/09/2024