MICHAEL J GREEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023199

License Status

EXPIRED

Business

First Name

MICHAEL J

Last Name

GREEN

Suffix

Business Name

MICHAEL J GREEN MD

Original Issue Date

12/07/1988

Effective Date

12/07/1988

Expiration Date

01/01/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006