ANDREW J GREEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069478

License Status

INACTIVE

Business

First Name

ANDREW J

Last Name

GREEN

Suffix

Business Name

ANDREW J GREEN MD

Original Issue Date

09/18/1984

Effective Date

09/18/1984

Expiration Date

07/31/1987

City

STONY BROOK

State

Zip

11794

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006