MICHAEL J GREEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081973

License Status

INACTIVE

Business

First Name

MICHAEL J

Last Name

GREEN

Suffix

Business Name

MICHAEL J GREEN MD

Original Issue Date

01/04/1991

Effective Date

01/04/1991

Expiration Date

07/31/1993

City

MADISON

State

Zip

53715

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006