ANDREW BRICE GREENE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

BRICE

Last Name

GREENE

Suffix

JR MD

Business Name

ANDREW BRICE GREENE JR MD

Original Issue Date

01/01/1997

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020