MICHAEL DAVID GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089809

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

DAVID

Last Name

GREEN

Suffix

Business Name

MICHAEL DAVID GREEN MD

Original Issue Date

10/15/1994

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

07/30/2025