KRISTEN MICHELLE GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104548

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

MICHELLE

Last Name

GREEN

Suffix

Business Name

KRISTEN MICHELLE GREEN MD

Original Issue Date

04/19/2001

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

06/21/2023