LANNY GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097313

License Status

NOT RENEWED

Business

First Name

LANNY

Last Name

GREEN

Suffix

Business Name

LANNY GREEN MD

Original Issue Date

02/24/1998

Effective Date

02/24/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006