DAMON C GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109916

License Status

NOT RENEWED

Business

Title

First Name

DAMON

Middle

Last Name

GREEN

Business Name

DAMON C GREEN MD

Original Issue Date

08/13/2003

Effective Date

05/19/2014

Expiration Date

07/31/2017

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

11/01/2017