ALEX DANIEL GREEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139967

License Status

ACTIVE

Business

Title

First Name

ALEX

Middle

DANIEL

Last Name

GREEN

Business Name

ALEX DANIEL GREEN DO

Original Issue Date

03/08/2016

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2023