MORTON ROBERT GREEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043521

License Status

INACTIVE

Business

First Name

MORTON

Middle

ROBERT

Last Name

GREEN

Suffix

Business Name

MORTON ROBERT GREEN MD

Original Issue Date

06/19/1970

Effective Date

06/19/1970

Expiration Date

07/31/2005

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006

Case Number

2003005911

Action

Reprimand

Discipline Start Date

06/15/2004