RICHARD K GREEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023256

License Status

EXPIRED

Business

First Name

RICHARD K

Last Name

GREEN

Suffix

Business Name

RICHARD K GREEN MD

Original Issue Date

04/13/1989

Effective Date

04/13/1989

Expiration Date

07/01/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006