LANNY GREEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032875

License Status

EXPIRED

Business

First Name

LANNY

Last Name

GREEN

Suffix

Business Name

LANNY GREEN MD

Original Issue Date

06/01/1995

Effective Date

06/01/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006