KIRK DENNIS GREEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113117

License Status

NOT RENEWED

Business

First Name

KIRK

Middle

DENNIS

Last Name

GREEN

Suffix

Business Name

KIRK DENNIS GREEN DO

Original Issue Date

02/22/2005

Effective Date

08/01/2014

Expiration Date

07/31/2017

City

URBANDALE

State

Zip

50323

County

IOWA

Ever Disciplined

LastModifiedDate

11/01/2017