DAVID GREEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041627

License Status

INACTIVE

Business

First Name

DAVID

Last Name

GREEN

Suffix

Business Name

DAVID GREEN MD

Original Issue Date

03/29/1968

Effective Date

04/06/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020