ANDREW BRICE GREENE JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051858

License Status

ACTIVE

Business

First Name

ANDREW

Middle

BRICE

Last Name

GREENE

Suffix

JR MD

Business Name

ANDREW BRICE GREENE JR MD

Original Issue Date

09/12/1975

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

08/01/2023