LEE JOAN GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062716

License Status

NOT RENEWED

Business

First Name

LEE JOAN

Last Name

GREEN

Suffix

Business Name

LEE JOAN GREEN MD

Original Issue Date

08/03/1981

Effective Date

04/01/2020

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021