MARY KATHLEEN GREENE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124629

License Status

NOT RENEWED

Business

First Name

MARY

Middle

KATHLEEN

Last Name

GREENE

Suffix

Business Name

MARY KATHLEEN GREENE MD

Original Issue Date

11/17/2009

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

ROANOKE

State

Zip

24018

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/17/2014