ALAN D GREEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

CANCELLED

Business

First Name

ALAN D

Last Name

GREEN

Suffix

Business Name

ALAN D GREEN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006