KRISTEN MICHELLE GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

MICHELLE

Last Name

GREEN

Suffix

Business Name

KRISTEN MICHELLE GREEN MD

Original Issue Date

04/24/2001

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

LINCOLN

State

Zip

62656

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023