ANDREA WHITE GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153315

License Status

NOT RENEWED

Business

Title

First Name

ANDREA

Middle

WHITE

Last Name

GREEN

Business Name

ANDREA WHITE GREEN MD

Original Issue Date

06/10/2020

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

GREENVILLE

State

Zip

62246

County

BOND

Ever Disciplined

LastModifiedDate

11/30/2023