MARK H GREENE III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

GREENE

Suffix

III MD

Business Name

MARK H GREENE III MD

Original Issue Date

06/17/2002

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017