DAVID EMERSON GREEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049250

License Status

EXPIRED

Business

First Name

DAVID

Middle

EMERSON

Last Name

GREEN

Business Name

DAVID EMERSON GREEN

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008