ANDREA WHITE GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

ANDREA

Middle

WHITE

Last Name

GREEN

Business Name

ANDREA WHITE GREEN MD

Original Issue Date

07/08/2020

Effective Date

07/08/2020

Expiration Date

07/31/2023

City

GREENVILLE

State

Zip

62246

County

BOND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023