LEO RICHARD GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

LEO RICHARD

Last Name

GREEN

Suffix

Business Name

LEO RICHARD GREEN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006