ROSS WAYNE GREEN DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000726

License Status

EXPIRED

Business

First Name

ROSS

Middle

WAYNE

Last Name

GREEN

Suffix

DPM

Business Name

ROSS WAYNE GREEN DPM

Original Issue Date

08/09/2010

Effective Date

08/09/2010

Expiration Date

08/09/2011

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

09/30/2011