MYRON 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

MYRON

Last Name

GREEN

Suffix

Business Name

MYRON GREEN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

LINCOLNWOOD

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/06/2008