THOMAS J GREEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084424

License Status

INACTIVE

Business

First Name

THOMAS J

Last Name

GREEN

Suffix

Business Name

THOMAS J GREEN MD

Original Issue Date

06/01/1992

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

04/17/2008