MARK H GREENE III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107120

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

GREENE

Suffix

III MD

Business Name

MARK H GREENE III MD

Original Issue Date

06/06/2002

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

11/01/2017