ALEXANDER I GREEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

ALEXANDER

Middle

Last Name

GREEN

Business Name

ALEXANDER I GREEN

Original Issue Date

03/30/2005

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023