ALYSIA LATRSE GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171538

License Status

ACTIVE

Business

Title

First Name

ALYSIA

Middle

LATRSE

Last Name

GREEN

Business Name

ALYSIA LATRSE GREEN MD

Original Issue Date

08/12/2024

Effective Date

08/12/2024

Expiration Date

07/31/2026

City

EAST LANSING

State

Zip

48823

Ever Disciplined

LastModifiedDate

08/02/2024