LISA JOAN GREEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086707

License Status

ACTIVE

Business

First Name

LISA JOAN

Last Name

GREEN

Business Name

LISA JOAN GREEN

Original Issue Date

07/08/1993

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2023