RICHARD K GREEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083943

License Status

INACTIVE

Business

First Name

RICHARD K

Last Name

GREEN

Suffix

Business Name

RICHARD K GREEN MD

Original Issue Date

01/29/1992

Effective Date

01/29/1992

Expiration Date

07/31/1996

City

LONGVIEW

State

Zip

98632

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006