ALEXANDER I GREEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042543

License Status

EXPIRED

Business

First Name

ALEXANDER

Middle

Last Name

GREEN

Business Name

ALEXANDER I GREEN

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

07/29/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006