IAN GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163857

License Status

ACTIVE

Business

Title

First Name

IAN

Last Name

GREEN

Business Name

IAN GREEN MD

Original Issue Date

03/03/2023

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

PHILADELPHIA

State

Zip

19107

Ever Disciplined

LastModifiedDate

06/05/2023