MICHAEL DAVID GREEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029036

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

GREEN

Suffix

Business Name

MICHAEL DAVID GREEN MD

Original Issue Date

07/15/1992

Effective Date

07/15/1992

Expiration Date

07/14/1995

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006