MAYA MARLENE GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153046

License Status

NOT RENEWED

Business

Title

First Name

MAYA

Middle

MARLENE

Last Name

GREEN

Business Name

MAYA MARLENE GREEN MD

Original Issue Date

05/19/2020

Effective Date

05/19/2020

Expiration Date

07/31/2023

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023