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*****59

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

06/01/1999

Effective Date

09/10/2020

Expiration Date

07/31/2023

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023