JOHN JOSEPH GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129922

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

JOSEPH

Last Name

GREEN

Business Name

JOHN JOSEPH GREEN MD

Original Issue Date

04/03/2012

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

PHILADELPHIA

State

Zip

19123

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021