KENNETH M GREENE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072645

License Status

NOT RENEWED

Business

First Name

KENNETH M

Last Name

GREENE

Suffix

Business Name

KENNETH M GREENE MD

Original Issue Date

05/02/1986

Effective Date

05/02/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006