HEATHER KRISTEN GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

HEATHER

Middle

KRISTEN

Last Name

GREEN

Suffix

Business Name

HEATHER KRISTEN GREEN MD

Original Issue Date

07/12/2024

Effective Date

07/12/2024

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2024