DANIEL LUKE GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083668

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

LUKE

Last Name

GREEN

Business Name

DANIEL LUKE GREEN MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2027

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/15/2024