SARAH ANN GREEN DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110101

License Status

INACTIVE

Business

First Name

SARAH

Middle

ANN

Last Name

GREEN

Suffix

Business Name

SARAH ANN GREEN DO

Original Issue Date

09/15/2003

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

12/29/2014