RICHARD VICTOR GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

RICHARD

Middle

VICTOR

Last Name

GREEN

Business Name

RICHARD VICTOR GREEN MD

Original Issue Date

01/14/2024

Effective Date

01/14/2024

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2024