ALEXANDRA EUGENA GREEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000663

License Status

EXPIRED

Business

Title

First Name

ALEXANDRA

Middle

EUGENA

Last Name

GREEN

Business Name

ALEXANDRA EUGENA GREEN MD

Original Issue Date

11/01/2016

Effective Date

11/01/2016

Expiration Date

04/30/2017

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/19/2017