ORVILLE C GREEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033811

License Status

INACTIVE

Business

First Name

ORVILLE C

Last Name

GREEN

Suffix

Business Name

ORVILLE C GREEN MD

Original Issue Date

11/30/1955

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011