DENA ANN GREEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

DENA

Middle

ANN

Last Name

GREEN

Business Name

DENA ANN GREEN MD

Original Issue Date

05/31/2016

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

JANESVILLE

State

Zip

53546

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023