MICHAEL DAVID GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

DAVID

Last Name

GREEN

Suffix

Business Name

MICHAEL DAVID GREEN MD

Original Issue Date

12/28/1994

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023