OTTAVIA KIMBERLY GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170213

License Status

ACTIVE

Business

Title

First Name

OTTAVIA

Middle

KIMBERLY

Last Name

GREEN

Business Name

OTTAVIA KIMBERLY GREEN MD

Original Issue Date

05/09/2024

Effective Date

05/09/2024

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023