JOHN JOSEPH GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021