ANDREA LOUISE GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

ANDREA

Middle

LOUISE

Last Name

GREEN

Business Name

ANDREA LOUISE GREEN MD

Original Issue Date

08/16/2023

Effective Date

08/16/2023

Expiration Date

07/31/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2023