HEATHER KRISTEN GREEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051189

License Status

EXPIRED

Business

First Name

HEATHER

Middle

KRISTEN

Last Name

GREEN

Suffix

Business Name

HEATHER KRISTEN GREEN MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/08/2010