MARLENE OPAL GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

MARLENE OPAL

Last Name

GREEN

Suffix

Business Name

MARLENE OPAL GREEN MD

Original Issue Date

08/19/1982

Effective Date

08/19/1982

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020