CHARLES JOSEPH GREEN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034325

License Status

NOT RENEWED

Business

First Name

CHARLES JOSEPH

Last Name

GREEN JR

Suffix

Business Name

CHARLES JOSEPH GREEN JR MD

Original Issue Date

09/13/1956

Effective Date

09/13/1956

City

APPLETON

State

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006