LEE JOAN GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

LEE JOAN

Last Name

GREEN

Suffix

Business Name

LEE JOAN GREEN MD

Original Issue Date

07/16/1982

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

ELGIN

State

Zip

60120

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020