ANDREA LOUISE GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166007

License Status

ACTIVE

Business

Title

First Name

ANDREA

Middle

LOUISE

Last Name

GREEN

Business Name

ANDREA LOUISE GREEN MD

Original Issue Date

07/19/2023

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

RIDGEWOOD

State

Zip

11385

Ever Disciplined

LastModifiedDate

06/24/2023