MAYA IZABELL GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

MAYA

Middle

IZABELL

Last Name

GREEN

Business Name

MAYA IZABELL GREEN MD

Original Issue Date

06/21/2012

Effective Date

05/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60621

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/28/2023