MARLENE OPAL GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055836

License Status

NOT RENEWED

Business

First Name

MARLENE OPAL

Last Name

GREEN

Suffix

Business Name

MARLENE OPAL GREEN MD

Original Issue Date

10/17/1977

Effective Date

08/25/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023