CHRISTOPHER A GREEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060296

License Status

INACTIVE

Business

First Name

CHRISTOPHER

Middle

Last Name

GREEN

Suffix

Business Name

CHRISTOPHER A GREEN MD

Original Issue Date

05/16/1980

Effective Date

04/27/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/08/2014