LISA JOAN GREEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027139

License Status

EXPIRED

Business

First Name

LISA JOAN

Last Name

GREEN

Business Name

LISA JOAN GREEN

Original Issue Date

06/11/1991

Effective Date

06/11/1991

Expiration Date

06/20/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006