CURTIS RANDALL GREEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095245

License Status

ACTIVE

Business

First Name

CURTIS RANDALL

Last Name

GREEN

Suffix

Business Name

CURTIS RANDALL GREEN DO

Original Issue Date

04/03/1997

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

04/26/2023