DOUGLAS ALLEN GREEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168729

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

ALLEN

Last Name

GREEN

Business Name

DOUGLAS ALLEN GREEN

Original Issue Date

02/14/2024

Effective Date

02/14/2024

Expiration Date

07/31/2026

City

OMAHA

State

Zip

68114

Ever Disciplined

LastModifiedDate

11/11/2024