ALYSIA LATRSE GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

ALYSIA

Middle

LATRSE

Last Name

GREEN

Business Name

ALYSIA LATRSE GREEN MD

Original Issue Date

09/04/2024

Effective Date

09/04/2024

Expiration Date

07/31/2026

City

EAST LANSING

State

Zip

48823

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024