MICHAEL J GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

GREEN

Suffix

Business Name

MICHAEL J GREEN MD

Original Issue Date

07/26/1991

Effective Date

07/26/1991

Expiration Date

07/31/1993

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006