EMILY ANN GREEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055611

License Status

EXPIRED

Business

First Name

EMILY

Middle

ANN

Last Name

GREEN

Suffix

Business Name

EMILY ANN GREEN MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatopathology

Ever Disciplined

LastModifiedDate

07/08/2010