LISA JOAN GREEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

LISA JOAN

Last Name

GREEN

Business Name

LISA JOAN GREEN

Original Issue Date

03/07/1994

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023